LAN LEZAN IHSAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286562

License Status

NOT RENEWED

Business

First Name

LAN

Middle

LEZAN

Last Name

IHSAN

Business Name

LAN LEZAN IHSAN

Original Issue Date

10/20/2021

Effective Date

10/20/2021

Expiration Date

05/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022