MALAK ABEBE FISSEHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292793

License Status

NOT RENEWED

Business

First Name

MALAK

Middle

ABEBE

Last Name

FISSEHA

Business Name

MALAK ABEBE FISSEHA

Original Issue Date

05/26/2022

Effective Date

05/26/2022

Expiration Date

03/31/2023

City

MACHESNEY PK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023