PHADI B MASISI MMUTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121997

License Status

NOT RENEWED

Business

First Name

PHADI

Middle

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

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005