EVA BRENAE MICKLES - Pharmacist License in Illinois | # 049265488

EVA BRENAE MICKLES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265488

License Status

NOT RENEWED

Business

N

First Name

EVA

Middle

BRENAE

Last Name

MICKLES

Business Name

EVA BRENAE MICKLES

Original Issue Date

05/21/2019

Effective Date

05/21/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021