MOHAMED SAM EZELDIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131697

License Status

NOT RENEWED

Business

First Name

MOHAMED

Middle

SAM

Last Name

EZELDIN

Business Name

MOHAMED SAM EZELDIN

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

03/31/2002

City

JUSTICE

State

Zip

60458

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005