EDEN GEBRESELASSIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142852

License Status

NOT RENEWED

Business

First Name

EDEN

Last Name

GEBRESELASSIE

Business Name

EDEN GEBRESELASSIE

Original Issue Date

06/03/2002

Effective Date

04/06/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010