LAXMAN GATLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107925

License Status

NOT RENEWED

Business

First Name

LAXMAN

Last Name

GATLA

Business Name

LAXMAN GATLA

Original Issue Date

08/26/1994

Effective Date

08/26/1994

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005