BONITA K MICKELSON - Pharmacist License in Illinois | # 049074860

BONITA K MICKELSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074860

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005