FAUZAN M ALI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203092

License Status

NOT RENEWED

Business

First Name

FAUZAN

Middle

Last Name

ALI

Business Name

FAUZAN M ALI

Original Issue Date

03/09/2011

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012