MICHELLE DIANE BRUBAKER - Pharmacist License in Illinois | # 049171271

MICHELLE DIANE BRUBAKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171271

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010