ANNETTE FAE MICHAEL-JEFFERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167373

License Status

INACTIVE

Business

First Name

ANNETTE

Middle

FAE

Last Name

MICHAEL-JEFFERSON

Business Name

ANNETTE FAE MICHAEL-JEFFERSON

Original Issue Date

04/06/2006

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/12/2010