MELVILLE DALE MAXWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063467

License Status

NOT RENEWED

Business

First Name

MELVILLE DALE

Last Name

MAXWELL

Business Name

MELVILLE DALE MAXWELL

Original Issue Date

05/16/1975

Effective Date

05/16/1975

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005