MELISSA D BURCHETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099092

License Status

NOT RENEWED

Business

First Name

MELISSA D

Last Name

BURCHETT

Business Name

MELISSA D BURCHETT

Original Issue Date

01/14/1992

Effective Date

01/14/1992

Expiration Date

03/31/1993

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005