SAIBABA DUDIGAMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297328

License Status

NOT RENEWED

Business

First Name

SAIBABA

Last Name

DUDIGAMA

Business Name

SAIBABA DUDIGAMA

Original Issue Date

12/03/2013

Effective Date

02/21/2018

Expiration Date

09/30/2020

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021