LYNN JEAN MIKKELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096711

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

JEAN

Last Name

MIKKELSEN

Business Name

LYNN JEAN MIKKELSEN

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005