MEHRET DAMTEW HAILESELASSIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169679

License Status

NOT RENEWED

Business

First Name

MEHRET

Middle

DAMTEW

Last Name

HAILESELASSIE

Business Name

MEHRET DAMTEW HAILESELASSIE

Original Issue Date

06/29/2006

Effective Date

06/29/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007