RUBY D MELLENTHIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257814

License Status

NOT RENEWED

Business

First Name

RUBY

Middle

Last Name

MELLENTHIN

Business Name

RUBY D MELLENTHIN

Original Issue Date

05/14/2018

Effective Date

05/14/2018

Expiration Date

03/31/2019

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019