MIKE A FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162767

License Status

NOT RENEWED

Business

First Name

MIKE

Middle

Last Name

FIELDS

Business Name

MIKE A FIELDS

Original Issue Date

08/05/2005

Effective Date

03/26/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021