RAFAT M MANSOUR DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097686

License Status

NOT RENEWED

Business

First Name

RAFAT M

Last Name

MANSOUR

Suffix

DDS

Business Name

RAFAT M MANSOUR DDS

Original Issue Date

08/06/1991

Effective Date

08/06/1991

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005