EILEEN MILLICK MENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030536

License Status

NOT RENEWED

Business

First Name

EILEEN MILLICK

Last Name

MENA

Business Name

EILEEN MILLICK MENA

Original Issue Date

07/25/1975

Effective Date

02/24/2014

Expiration Date

03/31/2016

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016