MARLYSE KENGUE MOUKEKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170897

License Status

NOT RENEWED

Business

First Name

MARLYSE

Last Name

KENGUE MOUKEKE

Business Name

MARLYSE KENGUE MOUKEKE

Original Issue Date

08/25/2006

Effective Date

08/25/2006

Expiration Date

03/31/2007

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

05/14/2007