MIKAELA LILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266494

License Status

NOT RENEWED

Business

First Name

MIKAELA

Last Name

LILLY

Business Name

MIKAELA LILLY

Original Issue Date

07/05/2019

Effective Date

07/05/2019

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021