AFFAN M BAIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111535

License Status

NOT RENEWED

Business

First Name

AFFAN M

Last Name

BAIA

Business Name

AFFAN M BAIA

Original Issue Date

08/16/1995

Effective Date

08/16/1995

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005