MELISSA MARIE JEROUSEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136220

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

JEROUSEK

Business Name

MELISSA MARIE JEROUSEK

Original Issue Date

05/07/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009