MELISA ANN BUTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163648

License Status

NOT RENEWED

Business

First Name

MELISA

Middle

ANN

Last Name

BUTZ

Business Name

MELISA ANN BUTZ

Original Issue Date

09/07/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007