BAN KHOSHABA ELIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200348

License Status

NOT RENEWED

Business

First Name

BAN

Middle

KHOSHABA

Last Name

ELIA

Business Name

BAN KHOSHABA ELIA

Original Issue Date

09/02/2010

Effective Date

11/13/2012

Expiration Date

03/31/2013

City

DES PLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

06/13/2013