NEIL SAMIR MASHRUWALA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155848

License Status

NOT RENEWED

Business

Title

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

City

DESPLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

10/20/2005