MALCOLM CHARLES MOLETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269249

License Status

NOT RENEWED

Business

First Name

MALCOLM

Middle

CHARLES

Last Name

MOLETTE

Business Name

MALCOLM CHARLES MOLETTE

Original Issue Date

11/16/2019

Effective Date

11/16/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021