MARTIN D MANICKATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110087

License Status

NOT RENEWED

Business

First Name

MARTIN D

Last Name

MANICKATH

Business Name

MARTIN D MANICKATH

Original Issue Date

04/05/1995

Effective Date

04/05/1995

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005