NIVEEN A YASIN - Pharmacist License in Illinois | # 049156166

NIVEEN A YASIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156166

License Status

NOT RENEWED

Business

N

First Name

NIVEEN

Middle

A

Last Name

YASIN

Business Name

NIVEEN A YASIN

Original Issue Date

07/23/2004

Effective Date

03/12/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019