LAUREN N MIKLAVCIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157077

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

MIKLAVCIC

Business Name

LAUREN N MIKLAVCIC

Original Issue Date

09/02/2004

Effective Date

03/25/2011

Expiration Date

03/31/2012

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

05/07/2012