MANDY L ENSHIWAT MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129329

License Status

NOT RENEWED

Business

Title

First Name

MANDY

Middle

Last Name

ENSHIWAT

Business Name

MANDY L ENSHIWAT MD

Original Issue Date

02/16/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007