SHIRAZ RIAZ BAXAMUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276832

License Status

NOT RENEWED

Business

First Name

SHIRAZ

Middle

RIAZ

Last Name

BAXAMUSA

Business Name

SHIRAZ RIAZ BAXAMUSA

Original Issue Date

10/20/2020

Effective Date

03/18/2021

Expiration Date

05/31/2022

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/27/2022