MARNEISHA Y BOURSIQUOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195377

License Status

NOT RENEWED

Business

First Name

MARNEISHA

Middle

Last Name

BOURSIQUOT

Business Name

MARNEISHA Y BOURSIQUOT

Original Issue Date

11/17/2009

Effective Date

03/15/2010

Expiration Date

03/31/2011

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

05/12/2011