VENKATA NAGA SAI JATIN GUMPELLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228242

License Status

NOT RENEWED

Business

First Name

VENKATA NAGA SAI

Middle

JATIN

Last Name

GUMPELLA

Business Name

VENKATA NAGA SAI JATIN GUMPELLA

Original Issue Date

10/01/2014

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019