MELODY SHAWN PARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108056

License Status

NOT RENEWED

Business

First Name

MELODY SHAWN

Last Name

PARKS

Business Name

MELODY SHAWN PARKS

Original Issue Date

09/07/1994

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/02/2008