MENTALLY HANI SIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298774

License Status

NOT RENEWED

Business

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

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023