WISAM A FARIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112299

License Status

NOT RENEWED

Business

First Name

WISAM A

Last Name

FARIS

Business Name

WISAM A FARIS

Original Issue Date

11/01/1995

Effective Date

11/01/1995

Expiration Date

03/31/1996

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005