MELINDA A KONCZAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289719

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

Last Name

KONCZAL

Business Name

MELINDA A KONCZAL

Original Issue Date

10/17/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010