MARIAM A MOHAMED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158531

License Status

NOT RENEWED

Business

First Name

MARIAM

Middle

Last Name

MOHAMED

Business Name

MARIAM A MOHAMED

Original Issue Date

12/22/2004

Effective Date

12/22/2004

Expiration Date

03/31/2006

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006