MINI ANTONY NEDUMGOTTIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099963

License Status

NOT RENEWED

Business

First Name

MINI

Middle

ANTONY

Last Name

NEDUMGOTTIL

Business Name

MINI ANTONY NEDUMGOTTIL

Original Issue Date

04/22/1992

Effective Date

04/22/1992

Expiration Date

03/31/1996

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005