ASHWINKUMAR BAVISI - Pharmacist License in Illinois | # 049062181

ASHWINKUMAR BAVISI

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062181

License Status

CANCELLED

Business

N

First Name

ASHWINKUMAR

Last Name

BAVISI

Business Name

ASHWINKUMAR BAVISI

Original Issue Date

09/06/1974

Effective Date

09/06/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005