IKENNA C ANYABOLU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203306

License Status

NOT RENEWED

Business

First Name

IKENNA

Middle

Last Name

ANYABOLU

Business Name

IKENNA C ANYABOLU

Original Issue Date

03/24/2011

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/07/2012