SAMIRA ANN ELLIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163420

License Status

NOT RENEWED

Business

First Name

SAMIRA

Middle

ANN

Last Name

ELLIAN

Business Name

SAMIRA ANN ELLIAN

Original Issue Date

08/31/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007