MICHELLE BIRCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288143

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

BIRCH

Business Name

MICHELLE BIRCH

Original Issue Date

03/21/2001

Effective Date

06/18/2009

Expiration Date

03/31/2010

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010