MELISSA DIANE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126688

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

DIANE

Last Name

ANDERSON

Business Name

MELISSA DIANE ANDERSON

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

03/31/2000

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005