MIRA MOKHAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131328

License Status

NOT RENEWED

Business

First Name

MIRA

Last Name

MOKHAT

Business Name

MIRA MOKHAT

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

03/31/2004

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005