IMTIYAZ ANSARI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193530

License Status

NOT RENEWED

Business

First Name

IMTIYAZ

Last Name

ANSARI

Prefix

Business Name

IMTIYAZ ANSARI

Original Issue Date

08/07/2009

Effective Date

08/07/2009

Expiration Date

03/31/2010

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010