MICHAEL S PARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165401

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

PARK

Business Name

MICHAEL S PARK

Original Issue Date

12/06/2005

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

01/09/2014