MALLORI GAIL OSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247461

License Status

NOT RENEWED

Business

First Name

MALLORI

Middle

GAIL

Last Name

OSTROM

Business Name

MALLORI GAIL OSTROM

Original Issue Date

12/30/2016

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

07/15/2019