OTHMAN A BLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060677

License Status

NOT RENEWED

Business

First Name

OTHMAN A

Last Name

BLAN

Business Name

OTHMAN A BLAN

Original Issue Date

11/30/1973

Effective Date

11/30/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005