MELISSA GO MEDINA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180921

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

Last Name

MEDINA

Prefix

Business Name

MELISSA GO MEDINA MD

Original Issue Date

12/04/2007

Effective Date

12/04/2007

Expiration Date

03/31/2008

City

ANN ARBOR

State

Zip

48104

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/02/2008