SURYA L JAYANTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113303

License Status

NOT RENEWED

Business

First Name

SURYA

Middle

Last Name

JAYANTI

Business Name

SURYA L JAYANTI

Original Issue Date

02/01/1996

Effective Date

05/14/2008

Expiration Date

03/31/2009

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009