MILLISCENT ADE FASHOLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157999

License Status

NOT RENEWED

Business

First Name

MILLISCENT

Middle

ADE

Last Name

FASHOLA

Business Name

MILLISCENT ADE FASHOLA

Original Issue Date

11/29/2004

Effective Date

04/06/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017