Utah
Division of Occupational and Professional Licensing
NITIN BASAVIAH CHANDRAMOULI
Pharmacy - Dispensing Medical Practitioner
License number
374569-1724
Date granted
08/19/2014
Date expires
09/30/2015
Class
Pharmacy - Dispensing Medical Practitioner
Status
Active
Address
SALT LAKE CITY, UT 841241214
utahlicensing.org
ID 29913664
LAST UPDATED 2026-04-01 21:42:56 UTC
LAST UPDATED 2026-04-01 21:42:56 UTC
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