BARAKA JERRY MNGWAMBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150372

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005