DOUGLAS WAYNE MELTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059950

License Status

NOT RENEWED

Business

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

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005