DIVYA POLUDASU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245427

License Status

NOT RENEWED

Business

First Name

DIVYA

Last Name

POLUDASU

Business Name

DIVYA POLUDASU

Original Issue Date

10/15/2016

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018