MANISHA GAUTAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239571

License Status

NOT RENEWED

Business

First Name

MANISHA

Last Name

GAUTAM

Prefix

Business Name

MANISHA GAUTAM

Original Issue Date

02/17/2016

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018