LISA KURIEN MANI MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169249

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

KURIEN

Last Name

MANI

Business Name

LISA KURIEN MANI MD

Original Issue Date

06/09/2006

Effective Date

06/09/2006

Expiration Date

03/31/2007

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007