MELISSA ANN MOLLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113054

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

MOLLAN

Business Name

MELISSA ANN MOLLAN

Original Issue Date

01/24/1996

Effective Date

01/24/1996

Expiration Date

03/31/2006

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006