AGNES A MICKOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056295

License Status

NOT RENEWED

Business

First Name

AGNES A

Last Name

MICKOW

Business Name

AGNES A MICKOW

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

STREAMWOOD

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005