KOCHUPURACKEL VA THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105104

License Status

NOT RENEWED

Business

First Name

KOCHUPURACKEL VA

Last Name

THOMAS

Business Name

KOCHUPURACKEL VA THOMAS

Original Issue Date

11/02/1993

Effective Date

11/02/1993

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005