LAMIS H DIAB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140221

License Status

NOT RENEWED

Business

First Name

LAMIS

Middle

Last Name

DIAB

Business Name

LAMIS H DIAB

Original Issue Date

01/18/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009