SIHAM NASSIF BOUTRUS - Pharmacist License in Illinois | # 049146633

SIHAM NASSIF BOUTRUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146633

License Status

NOT RENEWED

Business

N

First Name

SIHAM

Middle

NASSIF

Last Name

BOUTRUS

Business Name

SIHAM NASSIF BOUTRUS

Original Issue Date

01/08/2003

Effective Date

01/08/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005