ANNUM MANSOOR RAJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248705

License Status

NOT RENEWED

Business

First Name

ANNUM

Middle

MANSOOR

Last Name

RAJA

Business Name

ANNUM MANSOOR RAJA

Original Issue Date

02/27/2017

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

POWELL

State

Zip

37849

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019