JISHA K THEKKANIYIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148505

License Status

NOT RENEWED

Business

First Name

JISHA

Middle

Last Name

THEKKANIYIL

Business Name

JISHA K THEKKANIYIL

Original Issue Date

05/12/2003

Effective Date

05/12/2003

Expiration Date

03/31/2004

City

OTTUMWA

State

Zip

52501

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005