DARIEN T MICKENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151779

License Status

NOT RENEWED

Business

First Name

DARIEN

Middle

Last Name

MICKENS

Business Name

DARIEN T MICKENS

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

03/31/2004

City

MONEE

State

Zip

60449

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005