MEL R BORLONGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159624

License Status

NOT RENEWED

Business

First Name

MEL

Middle

Last Name

BORLONGAN

Business Name

MEL R BORLONGAN

Original Issue Date

03/21/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

JUSTICE

State

Zip

60458

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007