FAREEDA D LUSH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194812

License Status

INACTIVE

Business

First Name

FAREEDA

Middle

Last Name

LUSH

Prefix

Business Name

FAREEDA D LUSH

Original Issue Date

10/15/2009

Effective Date

10/15/2009

Expiration Date

03/31/2010

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010