MELVILLE DALE MAXWELL - Pharmacist License in Illinois | # 049063467

MELVILLE DALE MAXWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063467

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005