PONNU ANN PADIYARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192583

License Status

NOT RENEWED

Business

First Name

PONNU

Middle

ANN

Last Name

PADIYARA

Business Name

PONNU ANN PADIYARA

Original Issue Date

06/24/2009

Effective Date

03/23/2011

Expiration Date

03/31/2012

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012