MIKAL AZURENE ELAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289645

License Status

NOT RENEWED

Business

First Name

MIKAL

Middle

AZURENE

Last Name

ELAN

Business Name

MIKAL AZURENE ELAN

Original Issue Date

01/14/2022

Effective Date

01/14/2022

Expiration Date

03/31/2023

City

PORT SAINT LUCIE

State

Zip

34953

Ever Disciplined

LastModifiedDate

09/07/2023