YAZEN ASSAF MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203835

License Status

NOT RENEWED

Business

Title

First Name

YAZEN

Last Name

ASSAF

Prefix

Business Name

YAZEN ASSAF MD

Original Issue Date

04/25/2011

Effective Date

03/27/2013

Expiration Date

03/31/2014

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014