NAKIA K STIDHUM - Pharmacist License in Illinois | # 049152983

NAKIA K STIDHUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152983

License Status

NOT RENEWED

Business

N

First Name

NAKIA

Middle

K

Last Name

STIDHUM

Business Name

NAKIA K STIDHUM

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005