CAROL A MIKKELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172861

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

MIKKELSON

Business Name

CAROL A MIKKELSON

Original Issue Date

11/28/2006

Effective Date

11/28/2006

Expiration Date

03/31/2007

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/14/2007