BARBARA ANN MICKIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124920

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

ANN

Last Name

MICKIEWICZ

Business Name

BARBARA ANN MICKIEWICZ

Original Issue Date

03/05/1999

Effective Date

03/05/1999

Expiration Date

03/31/2000

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005