MOHAMED E ELIDRISSIY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158451

License Status

NOT RENEWED

Business

First Name

MOHAMED

Middle

Last Name

ELIDRISSIY

Business Name

MOHAMED E ELIDRISSIY

Original Issue Date

12/20/2004

Effective Date

04/16/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010