MICHAEL P LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091650

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

LOPEZ

Business Name

MICHAEL P LOPEZ

Original Issue Date

11/18/1989

Effective Date

11/18/1989

Expiration Date

03/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005