ROY MATHEM CHEMBAKASSERY - Pharmacist License in Wisconsin | # 049178299

ROY MATHEM CHEMBAKASSERY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178299

License Status

NOT RENEWED

Business

N

First Name

ROY

Middle

MATHEM

Last Name

CHEMBAKASSERY

Business Name

ROY MATHEM CHEMBAKASSERY

Original Issue Date

08/07/2007

Effective Date

04/01/2016

Expiration Date

03/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

05/10/2017