PHADI B MASISI MMUTLE - Pharmacist License in Illinois | # 049121997

PHADI B MASISI MMUTLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121997

License Status

NOT RENEWED

Business

N

First Name

PHADI

Middle

B

Last Name

MASISI MMUTLE

Business Name

PHADI B MASISI MMUTLE

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005