DANIEL MICKELSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030721

License Status

INACTIVE

Business

First Name

DANIEL

Last Name

MICKELSON

Business Name

DANIEL MICKELSON

Original Issue Date

12/18/1975

Effective Date

12/18/1975

Expiration Date

03/31/1984

City

FARGO

State

Zip

58102

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

10/17/2005