MUSTANSIR BROACHWALA - Pharmacist License in Illinois | # 049167423

MUSTANSIR BROACHWALA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167423

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007