MICKI M EVANSCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198433

License Status

NOT RENEWED

Business

First Name

MICKI

Middle

Last Name

EVANSCO

Prefix

Business Name

MICKI M EVANSCO

Original Issue Date

05/18/2010

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015