RIAZ H BAXAMUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110886

License Status

NOT RENEWED

Business

First Name

RIAZ H

Last Name

BAXAMUSA

Business Name

RIAZ H BAXAMUSA

Original Issue Date

06/17/1995

Effective Date

06/17/1995

Expiration Date

03/31/1999

City

CRYSTAL LAKE

State

Zip

60014

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005