MELISSA M MODGLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095357

License Status

NOT RENEWED

Business

First Name

MELISSA M

Last Name

MODGLIN

Business Name

MELISSA M MODGLIN

Original Issue Date

12/18/1990

Effective Date

12/18/1990

Expiration Date

03/31/1991

City

WEST PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005