RAJU MAYAPA SHANMUGAM MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171446

License Status

NOT RENEWED

Business

Title

First Name

RAJU

Middle

MAYAPA

Last Name

SHANMUGAM

Business Name

RAJU MAYAPA SHANMUGAM MD

Original Issue Date

09/19/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHERRY VALLEY

State

Zip

61016

County

BOONE

Ever Disciplined

LastModifiedDate

05/06/2009