MARIE KETSIA AUGUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142336

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

KETSIA

Last Name

AUGUSTIN

Business Name

MARIE KETSIA AUGUSTIN

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005