MICHAEL MARTIN MIKLUSICAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265060

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

MARTIN

Last Name

MIKLUSICAK

Business Name

MICHAEL MARTIN MIKLUSICAK

Original Issue Date

05/02/2019

Effective Date

01/25/2021

Expiration Date

05/31/2022

City

WAYLAND

State

Zip

49348

Ever Disciplined

LastModifiedDate

07/27/2022