IMTIYAZ ANSARI - Pharmacist License in Illinois | # 049193530

IMTIYAZ ANSARI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193530

License Status

NOT RENEWED

Business

N

First Name

IMTIYAZ

Last Name

ANSARI

Prefix

MR

Business Name

IMTIYAZ ANSARI

Original Issue Date

08/07/2009

Effective Date

08/07/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010