ANSAM SR KOUK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278368

License Status

NOT RENEWED

Business

First Name

ANSAM

Middle

Last Name

KOUK

Business Name

ANSAM SR KOUK

Original Issue Date

12/31/2020

Effective Date

12/31/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021