LISA ROBERTA MELLINGER - Pharmacist License in Illinois | # 049059436

LISA ROBERTA MELLINGER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059436

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005