MELANIE RENAE BURLISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164914

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

RENAE

Last Name

BURLISON

Business Name

MELANIE RENAE BURLISON

Original Issue Date

11/10/2005

Effective Date

11/10/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006