BHAVANI S GONNABATHULA - Pharmacist License in Illinois | # 049104747

BHAVANI S GONNABATHULA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104747

License Status

NOT RENEWED

Business

N

First Name

BHAVANI S

Last Name

GONNABATHULA

Business Name

BHAVANI S GONNABATHULA

Original Issue Date

10/07/1993

Effective Date

10/07/1993

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005