BASEM SIAM - Pharmacist License in Illinois | # 049147074

BASEM SIAM

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147074

License Status

INACTIVE

Business

N

First Name

BASEM

Last Name

SIAM

Business Name

BASEM SIAM

Original Issue Date

02/18/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008