PAVAN KUMAR NAGA SANNALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179803

License Status

NOT RENEWED

Business

First Name

PAVAN

Middle

KUMAR NAGA

Last Name

SANNALA

Business Name

PAVAN KUMAR NAGA SANNALA

Original Issue Date

10/09/2007

Effective Date

03/23/2020

Expiration Date

03/31/2021

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

07/20/2021