EMBELLI W MUDOH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156453

License Status

NOT RENEWED

Business

First Name

EMBELLI

Middle

Last Name

MUDOH

Business Name

EMBELLI W MUDOH

Original Issue Date

08/10/2004

Effective Date

03/21/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018