JULIE ANN MICKLOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120921

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANN

Last Name

MICKLOS

Business Name

JULIE ANN MICKLOS

Original Issue Date

05/07/1998

Effective Date

05/07/1998

Expiration Date

03/31/2000

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005