MAX MIKALA STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295321

License Status

NOT RENEWED

Business

First Name

MAX

Middle

MIKALA

Last Name

STEVENS

Business Name

MAX MIKALA STEVENS

Original Issue Date

08/25/2022

Effective Date

08/25/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023