GREGORY J MICKUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148893

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

MICKUS

Business Name

GREGORY J MICKUS

Original Issue Date

06/13/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008