EZECHIEL SHIKO LUNGELA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204239

License Status

NOT RENEWED

Business

First Name

EZECHIEL

Middle

SHIKO

Last Name

LUNGELA

Business Name

EZECHIEL SHIKO LUNGELA

Original Issue Date

05/19/2011

Effective Date

05/19/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012