PUJITHA MANDAVA - Pharmacist License in Illinois | # 049243596

PUJITHA MANDAVA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243596

License Status

NOT RENEWED

Business

N

First Name

PUJITHA

Last Name

MANDAVA

Prefix

MR

Business Name

PUJITHA MANDAVA

Original Issue Date

07/28/2016

Effective Date

07/28/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017