MATIWOS TESHOME KASSAYE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195911

License Status

NOT RENEWED

Business

First Name

MATIWOS

Middle

TESHOME

Last Name

KASSAYE

Business Name

MATIWOS TESHOME KASSAYE

Original Issue Date

12/17/2009

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011