SCOTT HENRY BLOSTICA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032430

License Status

INACTIVE

Business

First Name

SCOTT

Middle

HENRY

Last Name

BLOSTICA

Business Name

SCOTT HENRY BLOSTICA

Original Issue Date

10/17/1978

Effective Date

03/06/2012

Expiration Date

03/31/2014

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2012