MELISSA NICOLE FATHEREE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127193

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

NICOLE

Last Name

FATHEREE

Business Name

MELISSA NICOLE FATHEREE

Original Issue Date

08/26/1999

Effective Date

08/26/1999

Expiration Date

03/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005