MARILYN GERARDA MIKICIUK Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****15

License Status

NOT RENEWED

Business

First Name

MARILYN GERARDA

Last Name

MIKICIUK

Business Name

MARILYN GERARDA MIKICIUK

Original Issue Date

07/22/1982

Effective Date

07/22/1982

Expiration Date

01/31/1997

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005