Debra M Mikolasz Klocke
ExpiredIllinois license 049064977
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049064977
- Status
- Expired (Not Renewed)
- First issued
- March 5, 1976
- Expired
- January 1, 1997
- License holder
- Debra M Mikolasz Klocke
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/05/1976
Contact
Edwardsville, IL 62025
Madison County