BONITA K MICKELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074860

License Status

NOT RENEWED

Business

First Name

BONITA K

Last Name

MICKELSON

Business Name

BONITA K MICKELSON

Original Issue Date

07/02/1981

Effective Date

07/02/1981

Expiration Date

03/31/1986

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005