JADE NICOLE MELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284416

License Status

NOT RENEWED

Business

First Name

JADE

Middle

NICOLE

Last Name

MELLEN

Business Name

JADE NICOLE MELLEN

Original Issue Date

08/02/2021

Effective Date

03/24/2022

Expiration Date

03/31/2023

City

CARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/07/2023