AZRA A HUSSAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143622

License Status

NOT RENEWED

Business

First Name

AZRA

Middle

Last Name

HUSSAIN

Business Name

AZRA A HUSSAIN

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005