MELISSA S LUCAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113710

License Status

NOT RENEWED

Business

First Name

MELISSA S

Last Name

LUCAS

Business Name

MELISSA S LUCAS

Original Issue Date

03/19/1996

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007