MANSUR DEFFALA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300814

License Status

ACTIVE

Business

First Name

MANSUR

Last Name

DEFFALA

Business Name

MANSUR DEFFALA

Original Issue Date

03/22/2023

Effective Date

02/23/2025

Expiration Date

03/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/30/2026