MELISSA MARAE SAMPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196088

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARAE

Last Name

SAMPLE

Business Name

MELISSA MARAE SAMPLE

Original Issue Date

01/05/2010

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

SAINT LOUIS

State

Zip

63114

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/07/2012