PHUONG-QUYEN THI MELLADO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207913

License Status

NOT RENEWED

Business

First Name

PHUONG-QUYEN

Middle

THI

Last Name

MELLADO

Prefix

Business Name

PHUONG-QUYEN THI MELLADO

Original Issue Date

11/19/2011

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

PORTAGE

State

Zip

49024

Ever Disciplined

LastModifiedDate

01/08/2021