MARY T MIKALIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165845

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MIKALIAN

Business Name

MARY T MIKALIAN

Original Issue Date

12/29/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008