MEGAN M MIKEWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114752

License Status

NOT RENEWED

Business

First Name

MEGAN M

Last Name

MIKEWORTH

Business Name

MEGAN M MIKEWORTH

Original Issue Date

08/01/1996

Effective Date

08/01/1996

Expiration Date

03/31/2004

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/20/2005