TIBRALEM ASGEDOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144961

License Status

NOT RENEWED

Business

First Name

TIBRALEM

Last Name

ASGEDOM

Business Name

TIBRALEM ASGEDOM

Original Issue Date

09/30/2002

Effective Date

09/30/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005