MICHELLE J BANASZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182008

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BANASZAK

Business Name

MICHELLE J BANASZAK

Original Issue Date

02/05/2008

Effective Date

02/05/2008

Expiration Date

03/31/2009

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009