MIKKI A ROBERTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128570

License Status

NOT RENEWED

Business

First Name

MIKKI

Middle

Last Name

ROBERTSON

Business Name

MIKKI A ROBERTSON

Original Issue Date

12/14/1999

Effective Date

12/14/1999

Expiration Date

03/31/2005

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

10/20/2005