MICHELLE LEE ZAVACKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132099

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LEE

Last Name

ZAVACKY

Business Name

MICHELLE LEE ZAVACKY

Original Issue Date

08/09/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SOUTH BEND

State

Zip

46615

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2009