FRED G ILESANMI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155153

License Status

NOT RENEWED

Business

First Name

FRED

Middle

Last Name

ILESANMI

Business Name

FRED G ILESANMI

Original Issue Date

06/15/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BURNHAM

State

Zip

60633

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008