BASEM SIAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147074

License Status

INACTIVE

Business

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

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008