SHIVA SHIRVANIFAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205980

License Status

NOT RENEWED

Business

First Name

SHIVA

Last Name

SHIRVANIFAR

Prefix

Business Name

SHIVA SHIRVANIFAR

Original Issue Date

08/12/2011

Effective Date

03/24/2016

Expiration Date

03/31/2017

City

PHOENIX

State

Zip

85032

Ever Disciplined

LastModifiedDate

05/10/2017