TSEGEWEYN ALVLA DEMOZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148167

License Status

NOT RENEWED

Business

First Name

TSEGEWEYN

Middle

ALVLA

Last Name

DEMOZ

Business Name

TSEGEWEYN ALVLA DEMOZ

Original Issue Date

04/18/2003

Effective Date

04/18/2003

Expiration Date

03/31/2005

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/18/2019