CHANTTEL T MELQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208099

License Status

NOT RENEWED

Business

First Name

CHANTTEL

Middle

Last Name

MELQUIST

Business Name

CHANTTEL T MELQUIST

Original Issue Date

12/02/2011

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

SKANEATELES

State

Zip

13152

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/06/2013