MIKE C DOUGLAS - Pharmacist License in Illinois | # 049146354

MIKE C DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146354

License Status

NOT RENEWED

Business

N

First Name

MIKE

Middle

C

Last Name

DOUGLAS

Business Name

MIKE C DOUGLAS

Original Issue Date

12/13/2002

Effective Date

12/13/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005