DAVID GLENN MIKUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054942

License Status

NOT RENEWED

Business

First Name

DAVID GLENN

Last Name

MIKUS

Business Name

DAVID GLENN MIKUS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ALSEY

State

Zip

62610

County

SCOTT

Ever Disciplined

LastModifiedDate

10/17/2005