TIMBEN WARTRACE MBAKU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212248

License Status

NOT RENEWED

Business

First Name

TIMBEN

Middle

WARTRACE

Last Name

MBAKU

Business Name

TIMBEN WARTRACE MBAKU

Original Issue Date

07/18/2012

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/15/2019