ULRICH G AMOUSSOU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173285

License Status

NOT RENEWED

Business

First Name

ULRICH

Middle

Last Name

AMOUSSOU

Business Name

ULRICH G AMOUSSOU

Original Issue Date

12/18/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2009