MICHELLE JEAN BACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119288

License Status

NOT RENEWED

Business

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

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/06/2013