BARAKA JERRY MNGWAMBA - Pharmacist License in Illinois | # 049150372

BARAKA JERRY MNGWAMBA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150372

License Status

NOT RENEWED

Business

N

First Name

BARAKA

Middle

JERRY

Last Name

MNGWAMBA

Business Name

BARAKA JERRY MNGWAMBA

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005