NEGIN KIYAVASH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132530

License Status

NOT RENEWED

Business

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

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005