MELISSA M WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097998

License Status

NOT RENEWED

Business

First Name

MELISSA M

Last Name

WILLIS

Business Name

MELISSA M WILLIS

Original Issue Date

09/12/1991

Effective Date

09/12/1991

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005