TAKALA FOMOND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131729

License Status

NOT RENEWED

Business

First Name

TAKALA

Last Name

FOMOND

Business Name

TAKALA FOMOND

Original Issue Date

07/21/2000

Effective Date

07/21/2000

Expiration Date

03/31/2001

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2026