ADAM THALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203966

License Status

NOT RENEWED

Business

First Name

ADAM

Last Name

THALLA

Prefix

Business Name

ADAM THALLA

Original Issue Date

05/03/2011

Effective Date

05/03/2011

Expiration Date

03/31/2012

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012