MAICE KUTOM - Pharmacist License in Illinois | # 049208512

MAICE KUTOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208512

License Status

NOT RENEWED

Business

N

First Name

MAICE

Last Name

KUTOM

Prefix

MR

Business Name

MAICE KUTOM

Original Issue Date

01/02/2012

Effective Date

02/27/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018