MELINDA S SHOOKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169942

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

Last Name

SHOOKMAN

Business Name

MELINDA S SHOOKMAN

Original Issue Date

07/12/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NIANTIC

State

Zip

62551

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008