AMANDA ROSE IBRAHIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164698

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ROSE

Last Name

IBRAHIM

Business Name

AMANDA ROSE IBRAHIM

Original Issue Date

11/01/2005

Effective Date

03/04/2011

Expiration Date

03/31/2012

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012