MICHELLE RENAE SURVILLAS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138797

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

RENAE

Last Name

SURVILLAS

Business Name

MICHELLE RENAE SURVILLAS

Original Issue Date

10/23/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CLEVELAND

State

Zip

37311

Ever Disciplined

LastModifiedDate

01/06/2009