MELVA A MEDLOCK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095681

License Status

INACTIVE

Business

First Name

MELVA A

Last Name

MEDLOCK

Business Name

MELVA A MEDLOCK

Original Issue Date

01/25/1991

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

FAYETTEVILLE

State

Zip

30215

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/10/2008