ASANTEWA KENYA ALLEN - Pharmacist License in Georgia | # 049124021

ASANTEWA KENYA ALLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124021

License Status

NOT RENEWED

Business

N

First Name

ASANTEWA

Middle

KENYA

Last Name

ALLEN

Business Name

ASANTEWA KENYA ALLEN

Original Issue Date

12/04/1998

Effective Date

12/04/1998

Expiration Date

03/31/2006

State

GA

Ever Disciplined

N

LastModifiedDate

05/11/2006