MELISSA RAE MORENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149266

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

RAE

Last Name

MORENO

Business Name

MELISSA RAE MORENO

Original Issue Date

06/25/2003

Effective Date

02/24/2010

Expiration Date

03/31/2011

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011