MICHELLE CHRISTINA AYALA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161655

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

CHRISTINA

Last Name

AYALA

Business Name

MICHELLE CHRISTINA AYALA

Original Issue Date

06/13/2005

Effective Date

07/09/2012

Expiration Date

03/31/2013

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2013