MANISH C MASIYAVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159061

License Status

NOT RENEWED

Business

First Name

MANISH

Middle

Last Name

MASIYAVA

Business Name

MANISH C MASIYAVA

Original Issue Date

02/04/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009