MICHAEL DAVID BEALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157243

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

BEALES

Business Name

MICHAEL DAVID BEALES

Original Issue Date

09/29/2004

Effective Date

02/01/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013