AVA R MASTNY MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174584

License Status

NOT RENEWED

Business

Title

First Name

AVA

Middle

Last Name

MASTNY

Business Name

AVA R MASTNY MD

Original Issue Date

03/01/2007

Effective Date

03/01/2007

Expiration Date

03/31/2008

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008