ABDISALAN A HUSSEIN-MALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128229

License Status

NOT RENEWED

Business

First Name

ABDISALAN

Middle

Last Name

HUSSEIN-MALLA

Business Name

ABDISALAN A HUSSEIN-MALLA

Original Issue Date

11/17/1999

Effective Date

11/17/1999

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2018