FADA M MUSTAFA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104031

License Status

NOT RENEWED

Business

First Name

FADA M

Last Name

MUSTAFA

Business Name

FADA M MUSTAFA

Original Issue Date

07/17/1993

Effective Date

07/17/1993

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005