KRISHNA VASANTHI MALLIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203377

License Status

NOT RENEWED

Business

First Name

KRISHNA VASANTHI

Last Name

MALLIA

Prefix

Business Name

KRISHNA VASANTHI MALLIA

Original Issue Date

03/29/2011

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012