MELISSA F SOUTHEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094537

License Status

NOT RENEWED

Business

First Name

MELISSA F

Last Name

SOUTHEY

Business Name

MELISSA F SOUTHEY

Original Issue Date

07/12/1991

Effective Date

07/12/1991

Expiration Date

03/31/1994

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005