PATRICK NTWALI LUBALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297447

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

NTWALI

Last Name

LUBALA

Business Name

PATRICK NTWALI LUBALA

Original Issue Date

11/07/2022

Effective Date

11/07/2022

Expiration Date

03/31/2023

City

NORMAL

State

Zip

61761

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023