ALEXANDRIA ELIZABETH MELLENDORF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257774

License Status

NOT RENEWED

Business

First Name

ALEXANDRIA

Middle

ELIZABETH

Last Name

MELLENDORF

Business Name

ALEXANDRIA ELIZABETH MELLENDORF

Original Issue Date

05/14/2018

Effective Date

03/31/2022

Expiration Date

03/31/2023

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

09/07/2023