MICHELLE Y FOURMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226276

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

FOURMAN

Prefix

Business Name

MICHELLE Y FOURMAN

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

03/31/2015

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015