AVNI DERVISHI MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213634

License Status

NOT RENEWED

Business

Title

First Name

AVNI

Last Name

DERVISHI

Prefix

Business Name

AVNI DERVISHI MD

Original Issue Date

09/20/2012

Effective Date

09/20/2012

Expiration Date

03/31/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013