MARIANA G MALLIDI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222831

License Status

NOT RENEWED

Business

First Name

MARIANA

Middle

Last Name

MALLIDI

Prefix

Business Name

MARIANA G MALLIDI

Original Issue Date

01/10/2014

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

01/08/2021