MITRA MOADEBI AMIRHAMZEH - Pharmacist License in Wisconsin | # 049113406

MITRA MOADEBI AMIRHAMZEH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113406

License Status

NOT RENEWED

Business

N

First Name

MITRA MOADEBI

Last Name

AMIRHAMZEH

Business Name

MITRA MOADEBI AMIRHAMZEH

Original Issue Date

02/24/1996

Effective Date

02/24/1996

Expiration Date

03/31/1997

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005