MELISSA KAY BOHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106495

License Status

NOT RENEWED

Business

First Name

MELISSA KAY

Last Name

BOHM

Business Name

MELISSA KAY BOHM

Original Issue Date

04/06/1994

Effective Date

04/06/1994

Expiration Date

03/31/2001

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005