MODUPE ADIGUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148727

License Status

NOT RENEWED

Business

First Name

MODUPE

Last Name

ADIGUN

Business Name

MODUPE ADIGUN

Original Issue Date

06/05/2003

Effective Date

06/05/2003

Expiration Date

03/31/2004

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005