JOSEPH KANJIRAKUZHA AUGUSTINE - Pharmacist License in Illinois | # 049147288

JOSEPH KANJIRAKUZHA AUGUSTINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147288

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

KANJIRAKUZHA

Last Name

AUGUSTINE

Business Name

JOSEPH KANJIRAKUZHA AUGUSTINE

Original Issue Date

03/06/2003

Effective Date

03/06/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005