MELANIE Y DATU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122427

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

DATU

Business Name

MELANIE Y DATU

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2004

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005