NAKIA K STIDHUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152983

License Status

NOT RENEWED

Business

First Name

NAKIA

Middle

Last Name

STIDHUM

Business Name

NAKIA K STIDHUM

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005