SUSAN R MELVILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102056

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

MELVILLE

Business Name

SUSAN R MELVILLE

Original Issue Date

12/28/1992

Effective Date

12/28/1992

Expiration Date

03/31/2001

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005