ANSAM N KOUK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288286

License Status

NOT RENEWED

Business

First Name

ANSAM

Middle

Last Name

KOUK

Business Name

ANSAM N KOUK

Original Issue Date

11/22/2021

Effective Date

04/15/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025