MELVIN LORENZO BERRY - Pharmacist License in Illinois | # 049073581

MELVIN LORENZO BERRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073581

License Status

NOT RENEWED

Business

N

First Name

MELVIN LORENZO

Last Name

BERRY

Business Name

MELVIN LORENZO BERRY

Original Issue Date

09/19/1980

Effective Date

09/19/1980

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005