MICHAEL P PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070895

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

PAYNE

Business Name

MICHAEL P PAYNE

Original Issue Date

03/23/1979

Effective Date

03/23/1979

Expiration Date

01/01/1997

City

BROADVIEW

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005