MELISSA NICHOLE STALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263826

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

NICHOLE

Last Name

STALEY

Business Name

MELISSA NICHOLE STALEY

Original Issue Date

03/22/2019

Effective Date

03/22/2019

Expiration Date

09/30/2020

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021