AZAM NIZAMUDDIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095345

License Status

NOT RENEWED

Business

First Name

AZAM

Last Name

NIZAMUDDIN

Business Name

AZAM NIZAMUDDIN

Original Issue Date

12/18/1990

Effective Date

12/18/1990

Expiration Date

03/31/1991

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005