Licensee Name:KARIM NOOR KAIS
License Type:PHARMACY TECHNICIAN
License Number:102540
License Status:CANCELLED Definition
Expiration Date:May 31, 2014
Issue Date:June 23, 2010
Address:25-95 44TH STREET
City:ASTORIA
State:NY
Zip:11103
County:OUT OF STATE
Actions:No
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