Pharmacist
REGISTERED PHARMACIST
051032099
INACTIVE
N
JASPER
O
ILEKA
JASPER O ILEKA
07/17/1978
01/12/2010
03/31/2012
PROVIDENCE
RI
02940
RHODE ISLAND
Y
01/12/2012
1988001226
Suspension
09/22/1989
07/25/2000