MICHELLE L KURTYAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136959

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KURTYAK

Business Name

MICHELLE L KURTYAK

Original Issue Date

07/02/2001

Effective Date

07/02/2001

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005