SIMONNE SHARIF COSSOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126846

License Status

NOT RENEWED

Business

First Name

SIMONNE

Middle

SHARIF

Last Name

COSSOM

Business Name

SIMONNE SHARIF COSSOM

Original Issue Date

07/29/1999

Effective Date

07/29/1999

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005