GABRIELLE OLTIH SIHAKOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260530

License Status

NOT RENEWED

Business

First Name

GABRIELLE

Middle

OLTIH

Last Name

SIHAKOM

Business Name

GABRIELLE OLTIH SIHAKOM

Original Issue Date

10/10/2018

Effective Date

10/10/2018

Expiration Date

03/31/2019

City

CALEDONIA

State

Zip

61011

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019