MICHELLE YVETTE FAULKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164655

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

YVETTE

Last Name

FAULKS

Business Name

MICHELLE YVETTE FAULKS

Original Issue Date

10/28/2005

Effective Date

10/28/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006