TED I MIYATA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021935

License Status

INACTIVE

Business

First Name

TED I

Last Name

MIYATA

Business Name

TED I MIYATA

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005