MARTINA A KOOMSON - Pharmacist License in Illinois | # 049165447

MARTINA A KOOMSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165447

License Status

NOT RENEWED

Business

N

First Name

MARTINA

Middle

A

Last Name

KOOMSON

Business Name

MARTINA A KOOMSON

Original Issue Date

12/07/2005

Effective Date

12/07/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006