MICHELLE RENEE DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171350

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RENEE

Last Name

DOUGLAS

Business Name

MICHELLE RENEE DOUGLAS

Original Issue Date

09/14/2006

Effective Date

09/14/2006

Expiration Date

03/31/2007

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007