BASHARATH A KHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124149

License Status

NOT RENEWED

Business

First Name

BASHARATH

Middle

Last Name

KHAN

Business Name

BASHARATH A KHAN

Original Issue Date

12/15/1998

Effective Date

03/29/2010

Expiration Date

03/31/2011

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011