| Name Of the Firm : | Illiash Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-2156, Khudairy Bazar, Jatni |
| RP Name : | Saumya Ranjan Behera |
| Registration Number : | 21006/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Illiash Zahir |
| R : | 25038 |
| RC : | 25039 |
| RX : | 9577 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/25/2010 |
| Date of Expiry : | 1/24/2015 |
| Remarks : |