ARDIE MAE DEMELLIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261530

License Status

NOT RENEWED

Business

First Name

ARDIE

Middle

MAE

Last Name

DEMELLIER

Business Name

ARDIE MAE DEMELLIER

Original Issue Date

11/28/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021