BASAVARAJU BORRA - Pharmacist License in Illinois | # 049077935

BASAVARAJU BORRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077935

License Status

NOT RENEWED

Business

N

First Name

BASAVARAJU

Last Name

BORRA

Business Name

BASAVARAJU BORRA

Original Issue Date

03/09/1983

Effective Date

03/09/1983

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005