RASENIE MELANIE SENGSOURYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289959

License Status

NOT RENEWED

Business

First Name

RASENIE

Middle

MELANIE

Last Name

SENGSOURYA

Business Name

RASENIE MELANIE SENGSOURYA

Original Issue Date

01/26/2022

Effective Date

01/26/2022

Expiration Date

03/31/2023

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023