MIMOZA PERIHANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179734

License Status

NOT RENEWED

Business

First Name

MIMOZA

Last Name

PERIHANA

Business Name

MIMOZA PERIHANA

Original Issue Date

10/04/2007

Effective Date

03/24/2010

Expiration Date

03/31/2011

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011