PURUSHOTHAMA M MEHENDALE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066403

License Status

CANCELLED

Business

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

City

FOREST PARK

State

Zip

60130

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005