MICHELLE C QUINTANILLA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289105

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

QUINTANILLA

Business Name

MICHELLE C QUINTANILLA

Original Issue Date

09/17/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

RICHFIELD SPRINGS

State

Zip

13439

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/25/2010