SADAT S KHALEELUDDIN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125663

License Status

NOT RENEWED

Business

First Name

SADAT

Middle

Last Name

KHALEELUDDIN

Suffix

Business Name

SADAT S KHALEELUDDIN MD

Original Issue Date

04/28/1999

Effective Date

03/12/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016