MICHAEL FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061140

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

FIELDS

Business Name

MICHAEL FIELDS

Original Issue Date

03/15/1974

Effective Date

03/15/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005