NEGIN KIYAVASH - Pharmacist License in Illinois | # 049132530

NEGIN KIYAVASH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132530

License Status

NOT RENEWED

Business

N

First Name

NEGIN

Last Name

KIYAVASH

Business Name

NEGIN KIYAVASH

Original Issue Date

09/06/2000

Effective Date

09/06/2000

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005