MELISSA MIRACLE - Pharmacist License in Illinois | # 049112963

MELISSA MIRACLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112963

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Last Name

MIRACLE

Business Name

MELISSA MIRACLE

Original Issue Date

01/09/1996

Effective Date

01/09/1996

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006