EDO DEDE KOUSSAWO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215749

License Status

NOT RENEWED

Business

First Name

EDO

Middle

DEDE

Last Name

KOUSSAWO

Business Name

EDO DEDE KOUSSAWO

Original Issue Date

01/29/2013

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017