NASRIN S AZIMZADEH DMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095784

License Status

NOT RENEWED

Business

First Name

NASRIN

Middle

Last Name

AZIMZADEH

Suffix

DMD

Business Name

NASRIN S AZIMZADEH DMD

Original Issue Date

02/05/1991

Effective Date

02/05/1991

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005