MICHELLE MACK - Pharmacist License in Illinois | # 049111754

MICHELLE MACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111754

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Last Name

MACK

Business Name

MICHELLE MACK

Original Issue Date

09/16/1995

Effective Date

09/16/1995

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005