ROBERT J MALOTTKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029611

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

MALOTTKI

Business Name

ROBERT J MALOTTKI

Original Issue Date

07/27/1973

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008