MELANIE ANN WALLENFANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049290752

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

ANN

Last Name

WALLENFANG

Business Name

MELANIE ANN WALLENFANG

Original Issue Date

02/18/2022

Effective Date

02/18/2022

Expiration Date

03/31/2023

City

HOPEWELL

State

Zip

61565

County

MARSHALL

Ever Disciplined

LastModifiedDate

09/07/2023