MERVET BASSAM SALAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181046

License Status

NOT RENEWED

Business

First Name

MERVET

Middle

BASSAM

Last Name

SALAH

Business Name

MERVET BASSAM SALAH

Original Issue Date

12/10/2007

Effective Date

02/25/2011

Expiration Date

03/31/2012

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012