DINA MYTAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072408

License Status

NOT RENEWED

Business

First Name

DINA

Last Name

MYTAR

Business Name

DINA MYTAR

Original Issue Date

01/14/1980

Effective Date

01/14/1980

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005