TULSI PRAVIN ROY MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200781

License Status

NOT RENEWED

Business

Title

First Name

TULSI

Middle

PRAVIN

Last Name

ROY

Business Name

TULSI PRAVIN ROY MD

Original Issue Date

09/29/2010

Effective Date

09/29/2010

Expiration Date

03/31/2011

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/12/2011