Tyler R Micenheimer
ExpiredIllinois license 049139415
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049139415
- Status
- Expired (Not Renewed)
- First issued
- November 29, 2001
- Expired
- March 31, 2004
- License holder
- Tyler R Micenheimer
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/29/2001
Contact
Effingham, IL 62401
Effingham County