MICHELLE J BANASZAK - Pharmacist License in Illinois | # 049182008

MICHELLE J BANASZAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182008

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

J

Last Name

BANASZAK

Business Name

MICHELLE J BANASZAK

Original Issue Date

02/05/2008

Effective Date

02/05/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009