CHAD M MICHAELIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114554

License Status

NOT RENEWED

Business

First Name

CHAD M

Last Name

MICHAELIS

Business Name

CHAD M MICHAELIS

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005