CHANTALE DEUMANI MBAKOP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220512

License Status

NOT RENEWED

Business

First Name

CHANTALE

Last Name

DEUMANI MBAKOP

Prefix

Business Name

CHANTALE DEUMANI MBAKOP

Original Issue Date

09/01/2013

Effective Date

02/10/2014

Expiration Date

03/31/2015

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015