DANIEL G MICKELSON - Pharmacist License in Illinois | # 049062689

DANIEL G MICKELSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062689

License Status

NOT RENEWED

Business

N

First Name

DANIEL G

Last Name

MICKELSON

Business Name

DANIEL G MICKELSON

Original Issue Date

12/20/1974

Effective Date

12/20/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005