MICHEL M QUACKENBUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069695

License Status

NOT RENEWED

Business

First Name

MICHEL M

Last Name

QUACKENBUSH

Business Name

MICHEL M QUACKENBUSH

Original Issue Date

07/07/1978

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/20/2021