PAUL SUIVEN MBINGLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205487

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

SUIVEN

Last Name

MBINGLO

Business Name

PAUL SUIVEN MBINGLO

Original Issue Date

07/20/2011

Effective Date

02/09/2015

Expiration Date

03/31/2016

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

05/20/2016