FAISAL I LALA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142718

License Status

NOT RENEWED

Business

Title

First Name

FAISAL

Middle

Last Name

LALA

Business Name

FAISAL I LALA MD

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005