JUDITH ANN MELVIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157310

License Status

INACTIVE

Business

First Name

JUDITH

Middle

ANN

Last Name

MELVIN

Business Name

JUDITH ANN MELVIN

Original Issue Date

10/05/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/02/2009