MICHELLE K STORM - Pharmacist License in Illinois | # 049114523

MICHELLE K STORM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114523

License Status

NOT RENEWED

Business

N

First Name

MICHELLE K

Last Name

STORM

Business Name

MICHELLE K STORM

Original Issue Date

07/01/1996

Effective Date

07/01/1996

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005