MASSA FAHNBULLEH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208589

License Status

NOT RENEWED

Business

First Name

MASSA

Last Name

FAHNBULLEH

Business Name

MASSA FAHNBULLEH

Original Issue Date

01/06/2012

Effective Date

01/06/2012

Expiration Date

03/31/2013

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013