MIRSAMATOV MIRAZIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195115

License Status

NOT RENEWED

Business

First Name

MIRSAMATOV

Last Name

MIRAZIM

Prefix

Business Name

MIRSAMATOV MIRAZIM

Original Issue Date

10/31/2009

Effective Date

10/31/2009

Expiration Date

03/31/2010

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010