MODINAT ABISOLA SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241209

License Status

NOT RENEWED

Business

First Name

MODINAT

Middle

ABISOLA

Last Name

SAMUEL

Business Name

MODINAT ABISOLA SAMUEL

Original Issue Date

04/21/2016

Effective Date

02/28/2018

Expiration Date

03/31/2019

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019