PURUSHOTHAMA M MEHENDALE - Pharmacist License in Illinois | # 049066403

PURUSHOTHAMA M MEHENDALE

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066403

License Status

CANCELLED

Business

N

First Name

PURUSHOTHAMA M

Last Name

MEHENDALE

Business Name

PURUSHOTHAMA M MEHENDALE

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005