JEFFREY JOSEPH MITKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073402

License Status

NOT RENEWED

Business

First Name

JEFFREY JOSEPH

Last Name

MITKA

Business Name

JEFFREY JOSEPH MITKA

Original Issue Date

08/01/1980

Effective Date

08/01/1980

Expiration Date

01/01/1997

City

KENOSHA

State

Zip

63142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005