MUKAMUNGAW PRISCA MELEKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140287

License Status

NOT RENEWED

Business

First Name

MUKAMUNGAW

Middle

PRISCA

Last Name

MELEKI

Business Name

MUKAMUNGAW PRISCA MELEKI

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005