ROSA MARIE MIKKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139789

License Status

NOT RENEWED

Business

First Name

ROSA

Middle

MARIE

Last Name

MIKKA

Business Name

ROSA MARIE MIKKA

Original Issue Date

01/03/2002

Effective Date

01/03/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005