IDA M ISAAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152099

License Status

NOT RENEWED

Business

First Name

IDA

Middle

Last Name

ISAAC

Business Name

IDA M ISAAC

Original Issue Date

11/06/2003

Effective Date

11/06/2003

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006