DANIEL P MICKLEBOROUGH - Pharmacist License in Illinois | # 049109757

DANIEL P MICKLEBOROUGH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109757

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

P

Last Name

MICKLEBOROUGH

Business Name

DANIEL P MICKLEBOROUGH

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005