EDRIANNA NDIP ASSAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271630

License Status

NOT RENEWED

Business

First Name

EDRIANNA

Middle

NDIP

Last Name

ASSAM

Business Name

EDRIANNA NDIP ASSAM

Original Issue Date

03/20/2020

Effective Date

07/30/2021

Expiration Date

05/31/2022

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022