TRAVIS DONALD MICKELSON - Pharmacist License in Minnesota | # 049144640

TRAVIS DONALD MICKELSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144640

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

DONALD

Last Name

MICKELSON

Business Name

TRAVIS DONALD MICKELSON

Original Issue Date

09/13/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

MN

Ever Disciplined

N

LastModifiedDate

05/14/2007