MAICE KUTOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208512

License Status

NOT RENEWED

Business

First Name

MAICE

Last Name

KUTOM

Prefix

Business Name

MAICE KUTOM

Original Issue Date

01/02/2012

Effective Date

02/27/2017

Expiration Date

03/31/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018