AMANDA M MELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223128

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MELLEN

Business Name

AMANDA M MELLEN

Original Issue Date

01/27/2014

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015