JACOB KALATHIVEETIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061613

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

KALATHIVEETIL

Business Name

JACOB KALATHIVEETIL

Original Issue Date

06/18/1974

Effective Date

06/18/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005