MELISSA A MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148276

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

MATHEW

Business Name

MELISSA A MATHEW

Original Issue Date

04/21/2003

Effective Date

04/21/2003

Expiration Date

03/31/2004

City

ORLAND PARK

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005