MICHELE L HIATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165767

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

HIATT

Business Name

MICHELE L HIATT

Original Issue Date

12/23/2005

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011