PHILLIP L MELLEGAARD - Pharmacist License in Illinois | # 049059276

PHILLIP L MELLEGAARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059276

License Status

NOT RENEWED

Business

N

First Name

PHILLIP L

Last Name

MELLEGAARD

Business Name

PHILLIP L MELLEGAARD

Original Issue Date

03/26/1973

Effective Date

03/26/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005