SAMSON GOITOM TESFASELASSIE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300448

License Status

ACTIVE

Business

First Name

SAMSON

Middle

GOITOM

Last Name

TESFASELASSIE

Business Name

SAMSON GOITOM TESFASELASSIE

Original Issue Date

08/01/2017

Effective Date

03/08/2026

Expiration Date

03/31/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2026