KENYATTA BUSSLE - Pharmacist License in Illinois | # 049194160

KENYATTA BUSSLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194160

License Status

NOT RENEWED

Business

N

First Name

KENYATTA

Last Name

BUSSLE

Business Name

KENYATTA BUSSLE

Original Issue Date

09/10/2009

Effective Date

10/07/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011