MICHELLE ANN EWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117896

License Status

NOT RENEWED

Business

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

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/21/2005