SAGAR J MALLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159946

License Status

NOT RENEWED

Business

First Name

SAGAR

Middle

Last Name

MALLI

Business Name

SAGAR J MALLI

Original Issue Date

04/07/2005

Effective Date

03/02/2010

Expiration Date

03/31/2011

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011