MELISSA MAPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127078

License Status

NOT RENEWED

Business

First Name

MELISSA

Last Name

MAPLE

Business Name

MELISSA MAPLE

Original Issue Date

08/20/1999

Effective Date

08/20/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/05/2006