ENNIS BILAL DISSI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260288

License Status

NOT RENEWED

Business

First Name

ENNIS

Middle

BILAL

Last Name

DISSI

Business Name

ENNIS BILAL DISSI

Original Issue Date

10/01/2018

Effective Date

10/01/2018

Expiration Date

03/31/2019

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019