SAM H IBRAHIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156756

License Status

NOT RENEWED

Business

First Name

SAM

Middle

Last Name

IBRAHIM

Business Name

SAM H IBRAHIM

Original Issue Date

08/18/2004

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

05/07/2012