MICHAEL R LUNDBORG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154493

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LUNDBORG

Business Name

MICHAEL R LUNDBORG

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2006

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006