IDA KUKIMIYA - Pharmacist License in Wisconsin | # 049266826

IDA KUKIMIYA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266826

License Status

NOT RENEWED

Business

N

First Name

IDA

Last Name

KUKIMIYA

Business Name

IDA KUKIMIYA

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/08/2021