LESLEY MARIE MIKAELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220707

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

MARIE

Last Name

MIKAELSON

Business Name

LESLEY MARIE MIKAELSON

Original Issue Date

09/11/2013

Effective Date

01/24/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015