TARA SARA MELVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153288

License Status

NOT RENEWED

Business

First Name

TARA

Middle

SARA

Last Name

MELVIN

Business Name

TARA SARA MELVIN

Original Issue Date

02/17/2004

Effective Date

02/17/2004

Expiration Date

03/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/20/2005