MICHELLE L PATRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102637

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

PATRICK

Business Name

MICHELLE L PATRICK

Original Issue Date

03/09/1993

Effective Date

03/09/1993

Expiration Date

03/31/1994

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005