MIRA ASSAF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241870

License Status

NOT RENEWED

Business

First Name

MIRA

Last Name

ASSAF

Prefix

Business Name

MIRA ASSAF

Original Issue Date

05/14/2016

Effective Date

02/05/2019

Expiration Date

09/30/2020

City

DEARBORN HEIGHTS

State

Zip

48127

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/08/2021