MARK A MELTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134081

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MELTON

Business Name

MARK A MELTON

Original Issue Date

12/14/2000

Effective Date

12/14/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005