LISA ROBERTA MELLINGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059436

License Status

NOT RENEWED

Business

First Name

LISA ROBERTA

Last Name

MELLINGER

Business Name

LISA ROBERTA MELLINGER

Original Issue Date

05/01/1973

Effective Date

05/01/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005