ELIZABETH ANN MELLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131193

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

MELLIN

Business Name

ELIZABETH ANN MELLIN

Original Issue Date

06/14/2000

Effective Date

06/14/2000

Expiration Date

03/31/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005