Michelle L Baisa
ExpiredIllinois license 049105870
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049105870
- Status
- Expired (Not Renewed)
- First issued
- February 1, 1994
- Expired
- March 31, 1998
- License holder
- Michelle L Baisa
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/01/1994
Contact
Tinley Park, IL 60477
Cook County