License holder summary

KOUSTHUBHA BODAVULA is a Pharmacy - Pharmacist Ed Ltd licensed to practice in Michigan. This pharmacist license is not current. The license was granted 09/28/2004 and expired on 06/30/2005.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

KOUSTHUBHA BODAVULA
Pharmacy - Pharmacist Ed Ltd
License number
5302035632
Date granted
09/28/2004
Date expires
06/30/2005
Class
Pharmacy - Pharmacist Ed Ltd
Status
Lapsed
Address
michiganpharmacists.net
ID 39257400
LAST UPDATED 2024-02-28 19:22:36 UTC

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