DIVYA S BHAGAVATULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188845

License Status

NOT RENEWED

Business

First Name

DIVYA

Middle

Last Name

BHAGAVATULA

Business Name

DIVYA S BHAGAVATULA

Original Issue Date

12/23/2008

Effective Date

12/23/2008

Expiration Date

03/31/2009

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009