MICHELLE D SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109049

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

SMALL

Business Name

MICHELLE D SMALL

Original Issue Date

12/12/1994

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013