IYESATU IMAN SAMUKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181269

License Status

NOT RENEWED

Business

First Name

IYESATU

Middle

IMAN

Last Name

SAMUKA

Business Name

IYESATU IMAN SAMUKA

Original Issue Date

12/24/2007

Effective Date

12/24/2007

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009