MELISSA M MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101443

License Status

NOT RENEWED

Business

First Name

MELISSA M

Last Name

MARTIN

Business Name

MELISSA M MARTIN

Original Issue Date

10/06/1992

Effective Date

10/06/1992

Expiration Date

03/31/1998

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005