PAVAN A SURTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163788

License Status

NOT RENEWED

Business

First Name

PAVAN

Middle

Last Name

SURTI

Business Name

PAVAN A SURTI

Original Issue Date

09/13/2005

Effective Date

02/20/2015

Expiration Date

03/31/2016

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016