DHAMA BAKTHAVATSALU - Pharmacist License in Illinois | # 049074033

DHAMA BAKTHAVATSALU

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074033

License Status

NOT RENEWED

Business

N

First Name

DHAMA

Last Name

BAKTHAVATSALU

Business Name

DHAMA BAKTHAVATSALU

Original Issue Date

01/06/1981

Effective Date

01/06/1981

Expiration Date

03/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005