DAVID GLENN MIKUS - Pharmacist License in Illinois | # 051029104

DAVID GLENN MIKUS

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029104

License Status

INACTIVE

Business

N

First Name

DAVID GLENN

Last Name

MIKUS

Business Name

DAVID GLENN MIKUS

Original Issue Date

04/26/1972

Effective Date

02/09/2016

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2018