MICHAEL LASALLE - Pharmacist License in Illinois | # 049071544

MICHAEL LASALLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071544

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

LASALLE

Business Name

MICHAEL LASALLE

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005