ASHLEY MINA MEHRZAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173687

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

MINA

Last Name

MEHRZAD

Business Name

ASHLEY MINA MEHRZAD

Original Issue Date

01/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2009