MICHELLE L GILLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209432

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

GILLEN

Business Name

MICHELLE L GILLEN

Original Issue Date

02/28/2012

Effective Date

02/28/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013