DARRYL A QAIYYIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151369

License Status

NOT RENEWED

Business

First Name

DARRYL

Middle

Last Name

QAIYYIM

Business Name

DARRYL A QAIYYIM

Original Issue Date

10/07/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008