CONSTANCE MICHELLE DELAINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136264

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

MICHELLE

Last Name

DELAINE

Business Name

CONSTANCE MICHELLE DELAINE

Original Issue Date

05/11/2001

Effective Date

05/11/2001

Expiration Date

03/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005