MIKEL LEE MOSES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030194

License Status

NOT RENEWED

Business

First Name

MIKEL LEE

Last Name

MOSES

Business Name

MIKEL LEE MOSES

Original Issue Date

09/09/1974

Effective Date

01/14/2020

Expiration Date

07/31/2022

City

NEW BERLIN

State

Zip

53151

Ever Disciplined

LastModifiedDate

10/14/2022