SURAIYA I MANSURI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091700

License Status

INACTIVE

Business

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

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/05/2011