PATRICE M MELLENTHIN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064869

License Status

CANCELLED

Business

First Name

PATRICE M

Last Name

MELLENTHIN

Business Name

PATRICE M MELLENTHIN

Original Issue Date

02/13/1976

Effective Date

02/13/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005