PHADI B MASISI MMUTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287630

License Status

NOT RENEWED

Business

First Name

PHADI

Middle

Last Name

MASISI MMUTLE

Business Name

PHADI B MASISI MMUTLE

Original Issue Date

05/17/2000

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

10/14/2022