ANUPAM K BRAHMAMDAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197236

License Status

NOT RENEWED

Business

First Name

ANUPAM

Middle

Last Name

BRAHMAMDAM

Business Name

ANUPAM K BRAHMAMDAM

Original Issue Date

03/10/2010

Effective Date

04/20/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013