MICHAEL A SALQUIST Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069269

License Status

CANCELLED

Business

First Name

MICHAEL A

Last Name

SALQUIST

Business Name

MICHAEL A SALQUIST

Original Issue Date

04/28/1978

Effective Date

04/28/1978

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005