GERVASE M NDOKO - Pharmacist License in Illinois | # 049149326

GERVASE M NDOKO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149326

License Status

NOT RENEWED

Business

N

First Name

GERVASE

Middle

M

Last Name

NDOKO

Business Name

GERVASE M NDOKO

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005