MBIAKOP ARIANE PONTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260112

License Status

NOT RENEWED

Business

First Name

MBIAKOP

Middle

ARIANE

Last Name

PONTO

Business Name

MBIAKOP ARIANE PONTO

Original Issue Date

09/26/2018

Effective Date

05/17/2022

Expiration Date

03/31/2023

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

09/07/2023