ANASUYA S BRAHMAMDAM - Pharmacist License in Illinois | # 049142107

ANASUYA S BRAHMAMDAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142107

License Status

NOT RENEWED

Business

N

First Name

ANASUYA

Middle

S

Last Name

BRAHMAMDAM

Business Name

ANASUYA S BRAHMAMDAM

Original Issue Date

05/02/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012