FRED J EASSA - Pharmacist License in Illinois | # 049177870

FRED J EASSA

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177870

License Status

INACTIVE

Business

N

First Name

FRED

Middle

J

Last Name

EASSA

Business Name

FRED J EASSA

Original Issue Date

07/19/2007

Effective Date

01/15/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2010