ESPERANCE NGONDA DIANZENZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206246

License Status

NOT RENEWED

Business

First Name

ESPERANCE

Middle

NGONDA

Last Name

DIANZENZA

Business Name

ESPERANCE NGONDA DIANZENZA

Original Issue Date

08/26/2011

Effective Date

08/26/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012