KHALEELAH MUTA-ALI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171119

License Status

NOT RENEWED

Business

First Name

KHALEELAH

Last Name

MUTA-ALI

Business Name

KHALEELAH MUTA-ALI

Original Issue Date

09/06/2006

Effective Date

09/06/2006

Expiration Date

03/31/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/14/2007