KAY DIANE EHTESHAMI - Pharmacist License in New Mexico | # 051036411

KAY DIANE EHTESHAMI

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036411

License Status

INACTIVE

Business

N

First Name

KAY DIANE

Last Name

EHTESHAMI

Business Name

KAY DIANE EHTESHAMI

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

03/31/1992

State

NM

Ever Disciplined

N

LastModifiedDate

10/17/2005