KATHLEEN P MICKOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129210

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MICKOW

Business Name

KATHLEEN P MICKOW

Original Issue Date

02/09/2000

Effective Date

02/09/2000

Expiration Date

03/31/2003

City

VERNON HILLS

State

Zip

60061

Ever Disciplined

LastModifiedDate

10/20/2005