SAMIP C VASAIWALA MD - Pharmacist License in Illinois | # 049111324

SAMIP C VASAIWALA MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111324

License Status

NOT RENEWED

Business

N

First Name

SAMIP

Middle

C

Last Name

VASAIWALA

Suffix

MD

Business Name

SAMIP C VASAIWALA MD

Original Issue Date

07/27/1995

Effective Date

07/27/1995

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005