MAXWELL PAUL MEMENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254563

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

PAUL

Last Name

MEMENGA

Business Name

MAXWELL PAUL MEMENGA

Original Issue Date

11/30/2017

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/15/2019