PAVANI CHAVALI SURYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249617

License Status

NOT RENEWED

Business

First Name

PAVANI

Middle

CHAVALI

Last Name

SURYA

Business Name

PAVANI CHAVALI SURYA

Original Issue Date

04/04/2017

Effective Date

01/22/2018

Expiration Date

03/31/2019

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019