MICHELLE D BRIGNALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185965

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BRIGNALL

Business Name

MICHELLE D BRIGNALL

Original Issue Date

08/05/2008

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012