MICHELLE L BAISA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105870

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BAISA

Business Name

MICHELLE L BAISA

Original Issue Date

02/01/1994

Effective Date

02/01/1994

Expiration Date

03/31/1998

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005