DANA MICHELLE SMALL - Pharmacist License in Illinois | # 049258956

DANA MICHELLE SMALL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258956

License Status

NOT RENEWED

Business

N

First Name

DANA

Middle

MICHELLE

Last Name

SMALL

Business Name

DANA MICHELLE SMALL

Original Issue Date

08/02/2018

Effective Date

08/02/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019