KELLY CRAIG HOSTETTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288874

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

CRAIG

Last Name

HOSTETTER

Business Name

KELLY CRAIG HOSTETTER

Original Issue Date

07/12/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

WENONA

State

Zip

61377

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006