FADI M TANBOUZA HUSSEINI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040126

License Status

NOT RENEWED

Business

First Name

FADI M

Last Name

TANBOUZA HUSSEINI

Business Name

FADI M TANBOUZA HUSSEINI

Original Issue Date

12/09/1994

Effective Date

12/09/1994

Expiration Date

03/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005