SOSAMMA KURUVILLA - Pharmacist License in Illinois | # 049113105

SOSAMMA KURUVILLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113105

License Status

NOT RENEWED

Business

N

First Name

SOSAMMA

Last Name

KURUVILLA

Business Name

SOSAMMA KURUVILLA

Original Issue Date

01/29/1996

Effective Date

01/29/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005