MELISSA MARAE SAMPLE - Pharmacist License in Missouri | # 049196088

MELISSA MARAE SAMPLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196088

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

MARAE

Last Name

SAMPLE

Business Name

MELISSA MARAE SAMPLE

Original Issue Date

01/05/2010

Effective Date

02/28/2011

Expiration Date

03/31/2012

State

MO

Ever Disciplined

N

LastModifiedDate

05/07/2012