IMDAD A ANSARI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061869

License Status

NOT RENEWED

Business

First Name

IMDAD A

Last Name

ANSARI

Business Name

IMDAD A ANSARI

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

01/01/1997

City

FORT SHERIDAN

State

Zip

60037

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005