SHILPA VISWANATH DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215269

License Status

NOT RENEWED

Business

Title

First Name

SHILPA

Last Name

VISWANATH

Business Name

SHILPA VISWANATH DO

Original Issue Date

01/03/2013

Effective Date

01/03/2013

Expiration Date

03/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014