MICHELLE BACKSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220361

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

BACKSTROM

Business Name

MICHELLE BACKSTROM

Original Issue Date

08/27/2013

Effective Date

03/31/2014

Expiration Date

03/31/2015

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015