HISHAM AMBUSAMHADANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164510

License Status

NOT RENEWED

Business

First Name

HISHAM

Last Name

AMBUSAMHADANA

Business Name

HISHAM AMBUSAMHADANA

Original Issue Date

09/02/2005

Effective Date

10/20/2005

Expiration Date

03/31/2006

City

MURFREESBORO

State

Zip

37128

County

TENNESSEE

Ever Disciplined

LastModifiedDate

05/11/2006