DANIEL P MICKLEBOROUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109757

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

MICKLEBOROUGH

Business Name

DANIEL P MICKLEBOROUGH

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005