MIRIHAGALLE MIRIHAGALLE KANKAN SUPIPI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242900

License Status

NOT RENEWED

Business

First Name

MIRIHAGALLE

Last Name

MIRIHAGALLE KANKAN SUPIPI

Business Name

MIRIHAGALLE MIRIHAGALLE KANKAN SUPIPI

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

03/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017