MICHAEL D MELVIN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065993

License Status

CANCELLED

Business

First Name

MICHAEL D

Last Name

MELVIN

Business Name

MICHAEL D MELVIN

Original Issue Date

08/27/1976

Effective Date

08/27/1976

Expiration Date

01/01/1997

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/17/2005