HAITHAM ELJACK DMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208413

License Status

NOT RENEWED

Business

Title

DMD

First Name

HAITHAM

Last Name

ELJACK

Prefix

Business Name

HAITHAM ELJACK DMD

Original Issue Date

12/23/2011

Effective Date

12/23/2011

Expiration Date

03/31/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/07/2012