MARDHIA O DAYISI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288079

License Status

INACTIVE

Business

First Name

MARDHIA

Middle

Last Name

DAYISI

Business Name

MARDHIA O DAYISI

Original Issue Date

01/31/2001

Effective Date

02/23/2016

Expiration Date

03/31/2018

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/12/2018