GILBERT JOHN MICKELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131442

License Status

NOT RENEWED

Business

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

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006