MAMATHA R LANKALA - Pharmacist License in Illinois | # 049193563

MAMATHA R LANKALA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193563

License Status

NOT RENEWED

Business

N

First Name

MAMATHA

Middle

R

Last Name

LANKALA

Business Name

MAMATHA R LANKALA

Original Issue Date

08/11/2009

Effective Date

03/23/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012