MIRIAM MANSOUR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205539

License Status

NOT RENEWED

Business

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

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2014