PUJITHA MANDAVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243596

License Status

NOT RENEWED

Business

First Name

PUJITHA

Last Name

MANDAVA

Prefix

Business Name

PUJITHA MANDAVA

Original Issue Date

07/28/2016

Effective Date

07/28/2016

Expiration Date

03/31/2017

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017