ANSAR BAKHTIARI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062612

License Status

NOT RENEWED

Business

First Name

ANSAR

Last Name

BAKHTIARI

Business Name

ANSAR BAKHTIARI

Original Issue Date

11/29/1974

Effective Date

11/29/1974

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005