IBTESAM J MUSALAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164884

License Status

NOT RENEWED

Business

First Name

IBTESAM

Middle

Last Name

MUSALAM

Business Name

IBTESAM J MUSALAM

Original Issue Date

09/23/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007