LUAI MAZEN HASAN - Pharmacist License in Illinois | # 049144916

LUAI MAZEN HASAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144916

License Status

NOT RENEWED

Business

N

First Name

LUAI

Middle

MAZEN

Last Name

HASAN

Business Name

LUAI MAZEN HASAN

Original Issue Date

09/30/2002

Effective Date

09/30/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005