ANSAM BARAKAT - Pharmacist License in Illinois | # 049274052

ANSAM BARAKAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274052

License Status

NOT RENEWED

Business

N

First Name

ANSAM

Last Name

BARAKAT

Business Name

ANSAM BARAKAT

Original Issue Date

07/01/2020

Effective Date

03/03/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022