FREDERIQUE G COULIBALY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211108

License Status

NOT RENEWED

Business

First Name

FREDERIQUE

Middle

Last Name

COULIBALY

Prefix

Business Name

FREDERIQUE G COULIBALY

Original Issue Date

05/16/2012

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

DYER

State

Zip

46311

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017