BRIAN K MELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092849

License Status

NOT RENEWED

Business

First Name

BRIAN K

Last Name

MELLER

Business Name

BRIAN K MELLER

Original Issue Date

04/13/1990

Effective Date

04/13/1990

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005