AZRA SULTANA MATEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227231

License Status

NOT RENEWED

Business

First Name

AZRA

Middle

SULTANA

Last Name

MATEEN

Business Name

AZRA SULTANA MATEEN

Original Issue Date

08/19/2014

Effective Date

05/04/2017

Expiration Date

03/31/2018

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018