DEBORAH FUILI KIYE MALAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288526

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

FUILI KIYE MALAM

Business Name

DEBORAH FUILI KIYE MALAM

Original Issue Date

12/01/2021

Effective Date

12/01/2021

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61820

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022