MATTHEW MELANCEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208095

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

MELANCEN

Prefix

Business Name

MATTHEW MELANCEN

Original Issue Date

12/02/2011

Effective Date

12/02/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012