GISCA MBOUMBOU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262088

License Status

NOT RENEWED

Business

First Name

GISCA

Last Name

MBOUMBOU

Business Name

GISCA MBOUMBOU

Original Issue Date

12/12/2018

Effective Date

12/12/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019