SHAZIA HASAN - Pharmacist License in Illinois | # 049154321

SHAZIA HASAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154321

License Status

NOT RENEWED

Business

N

First Name

SHAZIA

Last Name

HASAN

Business Name

SHAZIA HASAN

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005