DAVID GLENN MIKUS - Pharmacist License in Illinois | # 049054942

DAVID GLENN MIKUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054942

License Status

NOT RENEWED

Business

N

First Name

DAVID GLENN

Last Name

MIKUS

Business Name

DAVID GLENN MIKUS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005