RAEV F SHATAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140545

License Status

NOT RENEWED

Business

First Name

RAEV

Middle

Last Name

SHATAT

Business Name

RAEV F SHATAT

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

03/31/2004

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005