MICHEAL JEROME BARKSDALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147495

License Status

NOT RENEWED

Business

First Name

MICHEAL

Middle

JEROME

Last Name

BARKSDALE

Business Name

MICHEAL JEROME BARKSDALE

Original Issue Date

03/18/2003

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010