NISHA MARY MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146424

License Status

NOT RENEWED

Business

First Name

NISHA

Middle

MARY

Last Name

MATHEW

Business Name

NISHA MARY MATHEW

Original Issue Date

12/18/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PORT SAINT LUCIE

State

Zip

34987

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/02/2008