MICHELLE DIANE BRUBAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171271

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DIANE

Last Name

BRUBAKER

Business Name

MICHELLE DIANE BRUBAKER

Original Issue Date

09/13/2006

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010