SIRISH CHANDRA DAVE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065949

License Status

CANCELLED

Business

First Name

SIRISH CHANDRA

Last Name

DAVE

Business Name

SIRISH CHANDRA DAVE

Original Issue Date

08/20/1976

Effective Date

08/20/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005