MELISSA NICHOLE HAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154613

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

NICHOLE

Last Name

HAINES

Business Name

MELISSA NICHOLE HAINES

Original Issue Date

05/27/2004

Effective Date

05/27/2004

Expiration Date

03/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005