MIKAYLA LOREN BLIEVERNICHT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272596

License Status

NOT RENEWED

Business

First Name

MIKAYLA

Middle

LOREN

Last Name

BLIEVERNICHT

Business Name

MIKAYLA LOREN BLIEVERNICHT

Original Issue Date

04/13/2020

Effective Date

03/17/2021

Expiration Date

05/31/2022

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022