Utah
Division of Occupational and Professional Licensing
RICHARD RUSSELL MICKELSON
Pharmacy - Pharmacist
License number
7961905-1701
Date granted
05/24/2011
Date expires
09/30/2015
Class
Pharmacy - Pharmacist
Status
Active
Address
WASILLA, AK 99687
utahlicensing.org
ID 29887636
LAST UPDATED 2024-04-01 06:21:53 UTC
LAST UPDATED 2024-04-01 06:21:53 UTC
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