DOUGLAS J MICHAEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152696

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

MICHAEL

Business Name

DOUGLAS J MICHAEL

Original Issue Date

12/23/2003

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

NORTH CHICAGO

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012