LESLIE EARL MICKEL II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176738

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

EARL

Last Name

MICKEL

Suffix

Business Name

LESLIE EARL MICKEL II

Original Issue Date

06/01/2007

Effective Date

03/25/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022

Case Number

2021008010

Action

Suspension

Discipline Start Date

12/13/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes.