MELLIZA S BUCHOLZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116803

License Status

NOT RENEWED

Business

First Name

MELLIZA

Middle

Last Name

BUCHOLZ

Business Name

MELLIZA S BUCHOLZ

Original Issue Date

03/14/1997

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

01/08/2021