DHAMA BAKTHAVATSALU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074033

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005