LARCH MELINDA ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129118

License Status

NOT RENEWED

Business

First Name

LARCH MELINDA

Last Name

ANDERSON

Business Name

LARCH MELINDA ANDERSON

Original Issue Date

02/02/2000

Effective Date

02/02/2000

Expiration Date

03/31/2002

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005