NEIL SAMIR MASHRUWALA MD - Pharmacist License in Illinois | # 049155848

NEIL SAMIR MASHRUWALA MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155848

License Status

NOT RENEWED

Business

N

Title

MD

First Name

NEIL

Middle

SAMIR

Last Name

MASHRUWALA

Business Name

NEIL SAMIR MASHRUWALA MD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005