MICHELLE KYMM NUSBAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076074

License Status

NOT RENEWED

Business

First Name

MICHELLE KYMM

Last Name

NUSBAUM

Business Name

MICHELLE KYMM NUSBAUM

Original Issue Date

02/26/1982

Effective Date

02/26/1982

Expiration Date

03/31/1989

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005