ANSAM N KOUK - Pharmacist License in Illinois | # 049288286

ANSAM N KOUK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288286

License Status

NOT RENEWED

Business

N

First Name

ANSAM

Middle

N

Last Name

KOUK

Business Name

ANSAM N KOUK

Original Issue Date

11/22/2021

Effective Date

04/15/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025