BRUCE JAZIMAN HAIRSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164675

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

JAZIMAN

Last Name

HAIRSTON

Business Name

BRUCE JAZIMAN HAIRSTON

Original Issue Date

10/31/2005

Effective Date

10/31/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2007