MELISSA LEANN TILLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281310

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LEANN

Last Name

TILLMAN

Business Name

MELISSA LEANN TILLMAN

Original Issue Date

04/08/2021

Effective Date

04/08/2021

Expiration Date

05/31/2022

City

MACOMB

State

Zip

61455

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022