MAYANKKUMAN N DAVE - Pharmacist License in Illinois | # 049169910

MAYANKKUMAN N DAVE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169910

License Status

NOT RENEWED

Business

N

First Name

MAYANKKUMAN

Middle

N

Last Name

DAVE

Business Name

MAYANKKUMAN N DAVE

Original Issue Date

07/11/2006

Effective Date

07/11/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007