NISHA MARY MATHEW Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292091

License Status

ACTIVE

Business

First Name

NISHA

Middle

MARY

Last Name

MATHEW

Business Name

NISHA MARY MATHEW

Original Issue Date

08/31/2007

Effective Date

03/06/2024

Expiration Date

03/31/2026

City

PORT SAINT LUCIE

State

Zip

34987

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/30/2026