AYMAN AZZAM HUSSEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154224

License Status

NOT RENEWED

Business

First Name

AYMAN

Middle

AZZAM

Last Name

HUSSEIN

Business Name

AYMAN AZZAM HUSSEIN

Original Issue Date

04/29/2004

Effective Date

04/29/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005