MARTINA A KOOMSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165447

License Status

NOT RENEWED

Business

First Name

MARTINA

Middle

Last Name

KOOMSON

Business Name

MARTINA A KOOMSON

Original Issue Date

12/07/2005

Effective Date

12/07/2005

Expiration Date

03/31/2006

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006