GILBERT JOHN MICKELSON - Pharmacist License in Illinois | # 049131442

GILBERT JOHN MICKELSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131442

License Status

NOT RENEWED

Business

N

First Name

GILBERT

Middle

JOHN

Last Name

MICKELSON

Business Name

GILBERT JOHN MICKELSON

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006