IYYANNA S GAVINI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154750

License Status

NOT RENEWED

Business

First Name

IYYANNA

Middle

Last Name

GAVINI

Business Name

IYYANNA S GAVINI

Original Issue Date

06/02/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008