MELISSA MARY KERVLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142722

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARY

Last Name

KERVLIS

Business Name

MELISSA MARY KERVLIS

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005