MICHAEL FAUSETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195391

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

FAUSETT

Business Name

MICHAEL FAUSETT

Original Issue Date

11/18/2009

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012