SHADEN QUTIFAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268856

License Status

NOT RENEWED

Business

First Name

SHADEN

Last Name

QUTIFAN

Business Name

SHADEN QUTIFAN

Original Issue Date

10/25/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

LINCOLNWOOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021