KRISHNA VENKATA GUMIDYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121058

License Status

NOT RENEWED

Business

First Name

KRISHNA

Middle

VENKATA

Last Name

GUMIDYALA

Business Name

KRISHNA VENKATA GUMIDYALA

Original Issue Date

05/19/1998

Effective Date

05/19/1998

Expiration Date

03/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005