MIKEL LEE MOSES - Pharmacist License in Illinois | # 049058823

MIKEL LEE MOSES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058823

License Status

NOT RENEWED

Business

N

First Name

MIKEL LEE

Last Name

MOSES

Business Name

MIKEL LEE MOSES

Original Issue Date

12/09/1972

Effective Date

12/09/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005