SAMIH FAYIZ DAIFALLAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262075

License Status

NOT RENEWED

Business

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

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021