SAMIH FAYIZ DAIFALLAH - Pharmacist License in Illinois | # 049262075

SAMIH FAYIZ DAIFALLAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262075

License Status

NOT RENEWED

Business

N

First Name

SAMIH

Middle

FAYIZ

Last Name

DAIFALLAH

Business Name

SAMIH FAYIZ DAIFALLAH

Original Issue Date

12/12/2018

Effective Date

11/08/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021