PHILIP S MICEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218514

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

MICEK

Business Name

PHILIP S MICEK

Original Issue Date

06/06/2013

Effective Date

06/06/2013

Expiration Date

03/31/2014

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014