PHYLLIS A AL MAZEEDI Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062242

License Status

CANCELLED

Business

First Name

PHYLLIS A

Last Name

AL MAZEEDI

Business Name

PHYLLIS A AL MAZEEDI

Original Issue Date

09/13/1974

Effective Date

09/13/1974

Expiration Date

01/01/1997

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005