SHIRLEY A MIHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075523

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

MIHM

Business Name

SHIRLEY A MIHM

Original Issue Date

10/16/1981

Effective Date

10/16/1981

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005