PALANISAMY BOOMICHETTY - Pharmacist License in Illinois | # 049145952

PALANISAMY BOOMICHETTY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145952

License Status

NOT RENEWED

Business

N

First Name

PALANISAMY

Last Name

BOOMICHETTY

Business Name

PALANISAMY BOOMICHETTY

Original Issue Date

11/20/2002

Effective Date

11/20/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005