NIVEEN A YASIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156166

License Status

NOT RENEWED

Business

First Name

NIVEEN

Middle

Last Name

YASIN

Business Name

NIVEEN A YASIN

Original Issue Date

07/23/2004

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019