KOFI ANSA BOASIAKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150479

License Status

NOT RENEWED

Business

First Name

KOFI

Middle

ANSA

Last Name

BOASIAKO

Business Name

KOFI ANSA BOASIAKO

Original Issue Date

09/03/2003

Effective Date

09/03/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005