SAMUEL NDABEZINHLE LUPUNGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254045

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

NDABEZINHLE

Last Name

LUPUNGA

Business Name

SAMUEL NDABEZINHLE LUPUNGA

Original Issue Date

10/31/2017

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019