MICHAEL EDWARD FAXEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157770

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

FAXEL

Business Name

MICHAEL EDWARD FAXEL

Original Issue Date

11/09/2004

Effective Date

11/09/2004

Expiration Date

03/31/2006

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006