MICHELLE ANDRIESSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155701

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

ANDRIESSEN

Business Name

MICHELLE ANDRIESSEN

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2005

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005