SAMUEL POTHAMALA BABU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220854

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

POTHAMALA BABU

Prefix

Business Name

SAMUEL POTHAMALA BABU

Original Issue Date

09/16/2013

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016