MOSHE DISSEN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192246

License Status

NOT RENEWED

Business

Title

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

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010