IMTIYAZ M GHOGHAWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121012

License Status

NOT RENEWED

Business

First Name

IMTIYAZ

Middle

Last Name

GHOGHAWALA

Business Name

IMTIYAZ M GHOGHAWALA

Original Issue Date

05/15/1998

Effective Date

05/15/1998

Expiration Date

03/31/2003

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005