JEFFREY F KOKUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154769

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

KOKUMA

Business Name

JEFFREY F KOKUMA

Original Issue Date

06/02/2004

Effective Date

06/02/2004

Expiration Date

03/31/2005

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005