RICHARD DEVADANAM BUSHPAKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118543

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005