TIFFANY ERIN MIKES - Pharmacist License in Illinois | # 049124110

TIFFANY ERIN MIKES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124110

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

ERIN

Last Name

MIKES

Business Name

TIFFANY ERIN MIKES

Original Issue Date

12/10/1998

Effective Date

12/10/1998

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005