MAHNOUSH MAE ZUSEFIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256022

License Status

NOT RENEWED

Business

First Name

MAHNOUSH

Middle

MAE

Last Name

ZUSEFIN

Business Name

MAHNOUSH MAE ZUSEFIN

Original Issue Date

02/09/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/08/2021