ROSEANNE P MIKSANEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143915

License Status

NOT RENEWED

Business

First Name

ROSEANNE

Middle

Last Name

MIKSANEK

Business Name

ROSEANNE P MIKSANEK

Original Issue Date

07/29/2002

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2013