MELISSA L CLEMENTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115241

License Status

NOT RENEWED

Business

First Name

MELISSA L

Last Name

CLEMENTZ

Business Name

MELISSA L CLEMENTZ

Original Issue Date

09/12/1996

Effective Date

09/12/1996

Expiration Date

03/31/1997

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005