PRIYANKA SHIVAKUMAR SHETTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145104

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Middle

SHIVAKUMAR

Last Name

SHETTY

Business Name

PRIYANKA SHIVAKUMAR SHETTY

Original Issue Date

10/03/2002

Effective Date

01/06/2009

Expiration Date

03/31/2010

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010