SIMA EGHTESAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131961

License Status

NOT RENEWED

Business

First Name

SIMA

Last Name

EGHTESAD

Business Name

SIMA EGHTESAD

Original Issue Date

08/01/2000

Effective Date

08/01/2000

Expiration Date

03/31/2005

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005