TERAH CORNELIA FATOKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145867

License Status

NOT RENEWED

Business

First Name

TERAH

Middle

CORNELIA

Last Name

FATOKE

Business Name

TERAH CORNELIA FATOKE

Original Issue Date

11/15/2002

Effective Date

11/15/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005