SCOTT EDWARD MIKULIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122209

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

EDWARD

Last Name

MIKULIC

Business Name

SCOTT EDWARD MIKULIC

Original Issue Date

07/30/1998

Effective Date

07/30/1998

Expiration Date

03/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005