NIVEDA BAALASUBRAMANIYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238500

License Status

NOT RENEWED

Business

First Name

NIVEDA

Last Name

BAALASUBRAMANIYAN

Business Name

NIVEDA BAALASUBRAMANIYAN

Original Issue Date

12/24/2015

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021