MUSTANSIR BROACHWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167423

License Status

NOT RENEWED

Business

First Name

MUSTANSIR

Last Name

BROACHWALA

Business Name

MUSTANSIR BROACHWALA

Original Issue Date

04/06/2006

Effective Date

04/06/2006

Expiration Date

03/31/2007

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007