SAMSON GOITOM TESFASELASSIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193408

License Status

NOT RENEWED

Business

First Name

SAMSON

Middle

GOITOM

Last Name

TESFASELASSIE

Business Name

SAMSON GOITOM TESFASELASSIE

Original Issue Date

08/04/2009

Effective Date

04/01/2023

Expiration Date

03/31/2024

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025