Last Updated: 5/16/2024 5:21:04 AM
Pharmacist Detail
Name |
LILLY MAWULE A KOUTCHO |
Type |
Doctor of Pharmacy |
Number |
17198 |
Class |
Active |
City, State, Zip |
TULSA,OK 74136 |
Status |
License in Good Standing |
Issue Date |
10/10/2016 |
Renewed Date |
08/20/2023 |
Expire Date |
09/30/2024 |
End Date |
|
Preceptor? |
No |
Immunization? |
Yes |
Disciplinary
Action
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Case Date | Case Number |
11/20/2019 | 1569 |
Contact Board for more information. | |