KAY DIANE EHTESHAMI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036411

License Status

INACTIVE

Business

First Name

KAY DIANE

Last Name

EHTESHAMI

Business Name

KAY DIANE EHTESHAMI

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

03/31/1992

City

ALBUQUERQUE

State

Zip

87111

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/17/2005