CARL JOSEPH MIKOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145006

License Status

NOT RENEWED

Business

First Name

CARL

Middle

JOSEPH

Last Name

MIKOTA

Business Name

CARL JOSEPH MIKOTA

Original Issue Date

10/01/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2009