NELLY RATHSAMAI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140867

License Status

NOT RENEWED

Business

First Name

NELLY

Last Name

RATHSAMAI

Business Name

NELLY RATHSAMAI

Original Issue Date

02/21/2002

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016