MICHELLE JEAN BACK - Pharmacist License in Illinois | # 049119288

MICHELLE JEAN BACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119288

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

JEAN

Last Name

BACK

Business Name

MICHELLE JEAN BACK

Original Issue Date

11/05/1997

Effective Date

01/31/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013