MICHELLE MARIE FORSTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134990

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

FORSTER

Business Name

MICHELLE MARIE FORSTER

Original Issue Date

03/08/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/14/2007