BAZEGENAWORK SEYOUM WOLDEYOHANES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249616

License Status

NOT RENEWED

Business

First Name

BAZEGENAWORK

Middle

SEYOUM

Last Name

WOLDEYOHANES

Business Name

BAZEGENAWORK SEYOUM WOLDEYOHANES

Original Issue Date

04/04/2017

Effective Date

04/04/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018