MOHAMMED MUSTAFA SALAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142164

License Status

NOT RENEWED

Business

First Name

MOHAMMED

Middle

MUSTAFA

Last Name

SALAM

Business Name

MOHAMMED MUSTAFA SALAM

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005