BASIL JAYAMON ELAYADOM - Pharmacist License in Illinois | # 049269268

BASIL JAYAMON ELAYADOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269268

License Status

NOT RENEWED

Business

N

First Name

BASIL

Middle

JAYAMON

Last Name

ELAYADOM

Business Name

BASIL JAYAMON ELAYADOM

Original Issue Date

11/18/2019

Effective Date

03/05/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025