MELISSA J BOOTHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152106

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BOOTHE

Business Name

MELISSA J BOOTHE

Original Issue Date

11/06/2003

Effective Date

11/06/2003

Expiration Date

03/31/2005

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/20/2005