HORACE MBELLA EFASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253326

License Status

NOT RENEWED

Business

First Name

HORACE

Middle

MBELLA

Last Name

EFASE

Business Name

HORACE MBELLA EFASE

Original Issue Date

09/22/2017

Effective Date

02/21/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019