MICHAEL CONRAD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061958

License Status

CANCELLED

Business

First Name

MICHAEL

Last Name

CONRAD

Business Name

MICHAEL CONRAD

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

01/01/1997

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005