SIVALI SURATI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205841

License Status

NOT RENEWED

Business

First Name

SIVALI

Last Name

SURATI

Business Name

SIVALI SURATI

Original Issue Date

08/05/2011

Effective Date

03/15/2015

Expiration Date

03/31/2016

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016