DOUGLAS WAYNE MELTON - Pharmacist License in Illinois | # 049059950

DOUGLAS WAYNE MELTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059950

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS WAYNE

Last Name

MELTON

Business Name

DOUGLAS WAYNE MELTON

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005