MELISSA K BURKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147169

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BURKS

Business Name

MELISSA K BURKS

Original Issue Date

02/26/2003

Effective Date

02/26/2003

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006