SURYA L JAYANTI - Pharmacist License in Illinois | # 049113303

SURYA L JAYANTI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113303

License Status

NOT RENEWED

Business

N

First Name

SURYA

Middle

L

Last Name

JAYANTI

Business Name

SURYA L JAYANTI

Original Issue Date

02/01/1996

Effective Date

05/14/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009