OLUKEMI A FASANMADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117405

License Status

NOT RENEWED

Business

First Name

OLUKEMI

Middle

Last Name

FASANMADE

Business Name

OLUKEMI A FASANMADE

Original Issue Date

04/25/1997

Effective Date

04/25/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005