JASMINE KOENA MASUPHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236982

License Status

NOT RENEWED

Business

First Name

JASMINE

Middle

KOENA

Last Name

MASUPHA

Business Name

JASMINE KOENA MASUPHA

Original Issue Date

10/14/2015

Effective Date

03/28/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017