ANTOINETTE MONIQUE STREET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196562

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

MONIQUE

Last Name

STREET

Business Name

ANTOINETTE MONIQUE STREET

Original Issue Date

02/01/2010

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011