SHRUTHI GAJJALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284556

License Status

NOT RENEWED

Business

First Name

SHRUTHI

Last Name

GAJJALA

Business Name

SHRUTHI GAJJALA

Original Issue Date

08/10/2021

Effective Date

08/10/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022