FREWEINI M GEDAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161157

License Status

NOT RENEWED

Business

First Name

FREWEINI

Middle

Last Name

GEDAM

Business Name

FREWEINI M GEDAM

Original Issue Date

05/19/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007