MOLLY ANN MICKELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237942

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

ANN

Last Name

MICKELSON

Business Name

MOLLY ANN MICKELSON

Original Issue Date

11/24/2015

Effective Date

03/26/2020

Expiration Date

03/31/2021

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/20/2021