IDA KUKIMIYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266826

License Status

NOT RENEWED

Business

First Name

IDA

Last Name

KUKIMIYA

Business Name

IDA KUKIMIYA

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

09/30/2020

City

MILWAUKEE

State

Zip

53233

Ever Disciplined

LastModifiedDate

01/08/2021