FAZAL M PUTHAWALA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288930

License Status

ACTIVE

Business

First Name

FAZAL

Middle

Last Name

PUTHAWALA

Business Name

FAZAL M PUTHAWALA

Original Issue Date

07/29/2002

Effective Date

02/01/2026

Expiration Date

03/31/2028

City

MORTON GROVE

State

Zip

60053

Ever Disciplined

LastModifiedDate

02/01/2026