MICHELLE ANNE WALLENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126632

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANNE

Last Name

WALLENBERG

Business Name

MICHELLE ANNE WALLENBERG

Original Issue Date

07/07/1999

Effective Date

07/07/1999

Expiration Date

03/31/2004

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005