MELANIE JO KIESECOMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120758

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

KIESECOMS

Business Name

MELANIE JO KIESECOMS

Original Issue Date

04/23/1998

Effective Date

04/23/1998

Expiration Date

03/31/2004

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

10/20/2005