KETAKI A BUDDHADEV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093214

License Status

NOT RENEWED

Business

First Name

KETAKI

Middle

Last Name

BUDDHADEV

Business Name

KETAKI A BUDDHADEV

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005