MELANIE KATHRYN GENSERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131104

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

KATHRYN

Last Name

GENSERT

Business Name

MELANIE KATHRYN GENSERT

Original Issue Date

06/08/2000

Effective Date

06/08/2000

Expiration Date

03/31/2004

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005