JACOB SAMIR AZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203087

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

SAMIR

Last Name

AZAR

Business Name

JACOB SAMIR AZAR

Original Issue Date

03/09/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013