RICHARD DEVADANAM BUSHPAKA - Pharmacist License in Illinois | # 049118543

RICHARD DEVADANAM BUSHPAKA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118543

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

DEVADANAM

Last Name

BUSHPAKA

Business Name

RICHARD DEVADANAM BUSHPAKA

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005