SMITHA H SHIVAPRASAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211119

License Status

NOT RENEWED

Business

First Name

SMITHA

Middle

Last Name

SHIVAPRASAD

Prefix

Business Name

SMITHA H SHIVAPRASAD

Original Issue Date

05/17/2012

Effective Date

08/08/2013

Expiration Date

03/31/2014

City

MUNDELEIN

State

Zip

60060

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014