HUSAM M ALI MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127724

License Status

NOT RENEWED

Business

Title

First Name

HUSAM

Middle

Last Name

ALI

Business Name

HUSAM M ALI MD

Original Issue Date

09/29/1999

Effective Date

09/29/1999

Expiration Date

03/31/2000

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005