GREGORY J MICKUS - Pharmacist License in Illinois | # 049148893

GREGORY J MICKUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148893

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

J

Last Name

MICKUS

Business Name

GREGORY J MICKUS

Original Issue Date

06/13/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008