ANJUM A KIDIWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135490

License Status

NOT RENEWED

Business

First Name

ANJUM

Middle

Last Name

KIDIWALA

Business Name

ANJUM A KIDIWALA

Original Issue Date

03/30/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009