Etminan, Maryam - (Pharmacy Intern)
Saint Louis, MO 63131
License# : 2002000275 - Issued on : 1/7/2002
Doing Business As :
| Licensee Name: | Etminan, Maryam |
| Profession Name: | Pharmacy Intern |
| Licensee Number: | 2002000275 |
| Expiration Date: | 12/31/2016 |
| Original Issue Date: | 1/7/2002 |
| Address: | |
| Address Con't: | |
| City, State Zip: | Saint Louis, MO 63131 |
| County: | St. Louis County |
| Practitioner DBA Name: | |
| Classification: |
| Current Discipline Status: | None |
Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO 65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists
