SURYA LAKSHMI RANI BALUSU Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293215

License Status

ACTIVE

Business

First Name

SURYA

Middle

LAKSHMI RANI

Last Name

BALUSU

Business Name

SURYA LAKSHMI RANI BALUSU

Original Issue Date

04/27/2009

Effective Date

03/01/2026

Expiration Date

03/31/2028

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/01/2026