MELANIE D IVIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089609

License Status

NOT RENEWED

Business

First Name

MELANIE D

Last Name

IVIE

Business Name

MELANIE D IVIE

Original Issue Date

04/15/1989

Effective Date

04/15/1989

Expiration Date

03/31/1992

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005