MARYAM K IBRAHIM MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227989

License Status

NOT RENEWED

Business

Title

First Name

MARYAM

Middle

Last Name

IBRAHIM

Prefix

Business Name

MARYAM K IBRAHIM MD

Original Issue Date

09/20/2014

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016