OCTAVIA L MALLETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187119

License Status

NOT RENEWED

Business

First Name

OCTAVIA

Middle

Last Name

MALLETTE

Business Name

OCTAVIA L MALLETTE

Original Issue Date

09/18/2008

Effective Date

03/25/2010

Expiration Date

03/31/2011

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/12/2011