SAMIR ATIYEH MUSTAFA - Pharmacist License in Illinois | # 049139217

SAMIR ATIYEH MUSTAFA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139217

License Status

NOT RENEWED

Business

N

First Name

SAMIR

Middle

ATIYEH

Last Name

MUSTAFA

Business Name

SAMIR ATIYEH MUSTAFA

Original Issue Date

11/14/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007