TARA MUMTAZ FAKHRI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235518

License Status

NOT RENEWED

Business

First Name

TARA

Middle

MUMTAZ

Last Name

FAKHRI

Business Name

TARA MUMTAZ FAKHRI

Original Issue Date

08/14/2015

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018