BILAAL UMAR SHABAZZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124507

License Status

NOT RENEWED

Business

First Name

BILAAL

Middle

UMAR

Last Name

SHABAZZ

Business Name

BILAAL UMAR SHABAZZ

Original Issue Date

01/22/1999

Effective Date

01/22/1999

Expiration Date

03/31/2000

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005