ABDULSAMAD B LAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090820

License Status

NOT RENEWED

Business

First Name

ABDULSAMAD B

Last Name

LAT

Business Name

ABDULSAMAD B LAT

Original Issue Date

08/08/1989

Effective Date

08/08/1989

Expiration Date

03/31/1991

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005