AGNES A MICKOW - Pharmacist License in Illinois | # 049056295

AGNES A MICKOW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056295

License Status

NOT RENEWED

Business

N

First Name

AGNES A

Last Name

MICKOW

Business Name

AGNES A MICKOW

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005