AMIT S MITRA - Pharmacist License in Illinois | # 049155885

AMIT S MITRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155885

License Status

NOT RENEWED

Business

N

First Name

AMIT

Middle

S

Last Name

MITRA

Business Name

AMIT S MITRA

Original Issue Date

06/30/2004

Effective Date

06/30/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006