MICHEAL JEROME BARKSDALE - Pharmacist License in Illinois | # 049147495

MICHEAL JEROME BARKSDALE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147495

License Status

NOT RENEWED

Business

N

First Name

MICHEAL

Middle

JEROME

Last Name

BARKSDALE

Business Name

MICHEAL JEROME BARKSDALE

Original Issue Date

03/18/2003

Effective Date

03/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010