MELISSA A VELAZQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183994

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

VELAZQUEZ

Business Name

MELISSA A VELAZQUEZ

Original Issue Date

04/30/2008

Effective Date

03/12/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015