MIRSAMATOV MIRAZIM - Pharmacist License in Illinois | # 049195115

MIRSAMATOV MIRAZIM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195115

License Status

NOT RENEWED

Business

N

First Name

MIRSAMATOV

Last Name

MIRAZIM

Prefix

MR

Business Name

MIRSAMATOV MIRAZIM

Original Issue Date

10/31/2009

Effective Date

10/31/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010