IBTESAM J MUSALAM - Pharmacist License in Illinois | # 049164884

IBTESAM J MUSALAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164884

License Status

NOT RENEWED

Business

N

First Name

IBTESAM

Middle

J

Last Name

MUSALAM

Business Name

IBTESAM J MUSALAM

Original Issue Date

09/23/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007