MICHELLE ANN EWALD - Pharmacist License in Illinois | # 049117896

MICHELLE ANN EWALD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117896

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

ANN

Last Name

EWALD

Business Name

MICHELLE ANN EWALD

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005