SELAMAWIT MAMMO TADESSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146625

License Status

NOT RENEWED

Business

First Name

SELAMAWIT

Middle

MAMMO

Last Name

TADESSE

Business Name

SELAMAWIT MAMMO TADESSE

Original Issue Date

01/07/2003

Effective Date

01/07/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005