MICHAEL LAWRENCE SIPES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118730

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

LAWRENCE

Last Name

SIPES

Business Name

MICHAEL LAWRENCE SIPES

Original Issue Date

08/28/1997

Effective Date

08/28/1997

Expiration Date

03/31/2001

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005