License holder summary

THOMAS JOSEPH MICKNICK is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for THOMAS JOSEPH MICKNICK is JERMYN PA 18433. This licensed professional license is current. The license was granted 08/11/2011 and expired on 09/30/2016.

Pennsylvania

Department of State

THOMAS JOSEPH MICKNICK
Pharmacy - Authorization to Administer Injectables
License number
RPI005266
Date granted
08/11/2011
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
JERMYN PA 18433
palicensing.org
ID 17049862
LAST UPDATED 2024-04-14 20:28:27 UTC

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