MIRIAM MANSOUR - Pharmacist License in Illinois | # 049205539

MIRIAM MANSOUR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205539

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Last Name

MANSOUR

Business Name

MIRIAM MANSOUR

Original Issue Date

07/22/2011

Effective Date

04/05/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2014