MICHELLE LEE Q PONTILLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212231

License Status

NOT RENEWED

Business

First Name

MICHELLE LEE

Middle

Last Name

PONTILLAS

Business Name

MICHELLE LEE Q PONTILLAS

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

03/31/2013

City

CHICAGO IL

State

Zip

60659

Ever Disciplined

LastModifiedDate

05/06/2013