BHAVANI S GONNABATHULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104747

License Status

NOT RENEWED

Business

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

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005