MELISSA M SHIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141451

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

SHIVELY

Business Name

MELISSA M SHIVELY

Original Issue Date

03/18/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/14/2007