ANICETA S MOGONGWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143495

License Status

NOT RENEWED

Business

First Name

ANICETA

Middle

Last Name

MOGONGWA

Business Name

ANICETA S MOGONGWA

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005