MELISSA M SHIVELY - Pharmacist License in Illinois | # 049141451

MELISSA M SHIVELY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141451

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

M

Last Name

SHIVELY

Business Name

MELISSA M SHIVELY

Original Issue Date

03/18/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007