MEHRUNISSA TAJ MOHAMMED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187257

License Status

NOT RENEWED

Business

First Name

MEHRUNISSA

Middle

TAJ

Last Name

MOHAMMED

Business Name

MEHRUNISSA TAJ MOHAMMED

Original Issue Date

09/23/2008

Effective Date

04/12/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011