MARY L MICNERSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100226

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

MICNERSKI

Business Name

MARY L MICNERSKI

Original Issue Date

05/28/1992

Effective Date

05/28/1992

Expiration Date

03/31/1996

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005