FATIMA Z MITHAIWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138497

License Status

NOT RENEWED

Business

First Name

FATIMA

Middle

Last Name

MITHAIWALA

Business Name

FATIMA Z MITHAIWALA

Original Issue Date

09/28/2001

Effective Date

10/25/2010

Expiration Date

03/31/2011

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011