CARIN EZZAT FATHALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292827

License Status

NOT RENEWED

Business

First Name

CARIN

Middle

EZZAT

Last Name

FATHALLA

Business Name

CARIN EZZAT FATHALLA

Original Issue Date

05/27/2022

Effective Date

05/27/2022

Expiration Date

03/31/2023

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023