MUKAIBA O MUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143696

License Status

NOT RENEWED

Business

First Name

MUKAIBA

Middle

Last Name

MUSA

Business Name

MUKAIBA O MUSA

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005