MICKIE DAVINA WOODALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134247

License Status

NOT RENEWED

Business

First Name

MICKIE

Middle

DAVINA

Last Name

WOODALL

Business Name

MICKIE DAVINA WOODALL

Original Issue Date

12/29/2000

Effective Date

12/29/2000

Expiration Date

03/31/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006