SHARON L MIKUTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114186

License Status

NOT RENEWED

Business

First Name

SHARON L

Last Name

MIKUTA

Business Name

SHARON L MIKUTA

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

03/31/1997

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005