MOUSTAFA M MOHAMED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185578

License Status

NOT RENEWED

Business

First Name

MOUSTAFA

Middle

Last Name

MOHAMED

Prefix

Business Name

MOUSTAFA M MOHAMED

Original Issue Date

07/15/2008

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010