MELANIE RAE SOPKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128104

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

RAE

Last Name

SOPKO

Business Name

MELANIE RAE SOPKO

Original Issue Date

11/04/1999

Effective Date

11/04/1999

Expiration Date

03/31/2005

City

STREATOR

State

Zip

61364

Ever Disciplined

LastModifiedDate

10/20/2005