SURESH BOODRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098163

License Status

NOT RENEWED

Business

First Name

SURESH

Last Name

BOODRAM

Business Name

SURESH BOODRAM

Original Issue Date

09/26/1991

Effective Date

09/26/1991

Expiration Date

03/31/1995

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005