ROY LYNN MELLOVITZ Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062462

License Status

CANCELLED

Business

First Name

ROY LYNN

Last Name

MELLOVITZ

Business Name

ROY LYNN MELLOVITZ

Original Issue Date

11/01/1974

Effective Date

11/01/1974

Expiration Date

01/01/1997

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005