MENTALLY HANI SIAM - Pharmacist License in Illinois | # 049298774

MENTALLY HANI SIAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298774

License Status

NOT RENEWED

Business

N

First Name

MENTALLY

Middle

HANI

Last Name

SIAM

Business Name

MENTALLY HANI SIAM

Original Issue Date

12/27/2022

Effective Date

12/27/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023