MOSHE DISSEN MD - Pharmacist License in Illinois | # 049192246

MOSHE DISSEN MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192246

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MOSHE

Last Name

DISSEN

Business Name

MOSHE DISSEN MD

Original Issue Date

06/10/2009

Effective Date

06/10/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010