MELISSA MENCHACA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127983

License Status

NOT RENEWED

Business

First Name

MELISSA

Last Name

MENCHACA

Business Name

MELISSA MENCHACA

Original Issue Date

10/22/1999

Effective Date

10/22/1999

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005