GAETANA MICHELON - Pharmacist License in Illinois | # 049158636

GAETANA MICHELON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158636

License Status

NOT RENEWED

Business

N

First Name

GAETANA

Last Name

MICHELON

Business Name

GAETANA MICHELON

Original Issue Date

12/28/2004

Effective Date

12/28/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006