MICHELLE R KELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133875

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KELLER

Business Name

MICHELLE R KELLER

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2002

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005