PAVAN KUMAR REDDY PAMADURTHI MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179272

License Status

NOT RENEWED

Business

Title

First Name

PAVAN KUMAR

Middle

REDDY

Last Name

PAMADURTHI

Prefix

Business Name

PAVAN KUMAR REDDY PAMADURTHI MD

Original Issue Date

09/18/2007

Effective Date

09/18/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008