MELISSA J THOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070640

License Status

NOT RENEWED

Business

First Name

MELISSA J

Last Name

THOMAN

Business Name

MELISSA J THOMAN

Original Issue Date

02/02/1979

Effective Date

02/02/1979

Expiration Date

01/01/1997

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005