KOFI ANSA BOASIAKO - Pharmacist License in Illinois | # 049150479

KOFI ANSA BOASIAKO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150479

License Status

NOT RENEWED

Business

N

First Name

KOFI

Middle

ANSA

Last Name

BOASIAKO

Business Name

KOFI ANSA BOASIAKO

Original Issue Date

09/03/2003

Effective Date

09/03/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005