KIRAN A PARVATRAO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095275

License Status

NOT RENEWED

Business

First Name

KIRAN

Middle

Last Name

PARVATRAO

Business Name

KIRAN A PARVATRAO

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

03/31/1992

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005