SURAIYA I MANSURI - Pharmacist License in Illinois | # 049091700

SURAIYA I MANSURI

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091700

License Status

INACTIVE

Business

N

First Name

SURAIYA I

Last Name

MANSURI

Business Name

SURAIYA I MANSURI

Original Issue Date

12/02/1989

Effective Date

02/10/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2011