LOURDES MIKRUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149615

License Status

NOT RENEWED

Business

First Name

LOURDES

Last Name

MIKRUT

Business Name

LOURDES MIKRUT

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/31/2005

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005