JACK Q MICKOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280341

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

MICKOW

Business Name

JACK Q MICKOW

Original Issue Date

03/11/2021

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

FORT LAUDERDALE

State

Zip

33304

Ever Disciplined

LastModifiedDate

07/27/2022