JAMAL KHALED DISSI - Pharmacist License in Illinois | # 049128347

JAMAL KHALED DISSI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128347

License Status

NOT RENEWED

Business

N

First Name

JAMAL

Middle

KHALED

Last Name

DISSI

Business Name

JAMAL KHALED DISSI

Original Issue Date

11/23/1999

Effective Date

11/23/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005