PHILLIP L MELLEGAARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059276

License Status

NOT RENEWED

Business

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

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005