MELODY DAWN SHOUSE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200871

License Status

INACTIVE

Business

First Name

MELODY

Middle

DAWN

Last Name

SHOUSE

Business Name

MELODY DAWN SHOUSE

Original Issue Date

10/05/2010

Effective Date

02/03/2011

Expiration Date

03/31/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/12/2012