MANIJEH S AZIMZADEH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143765

License Status

NOT RENEWED

Business

First Name

MANIJEH

Middle

Last Name

AZIMZADEH

Business Name

MANIJEH S AZIMZADEH

Original Issue Date

07/22/2002

Effective Date

07/22/2002

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006