SHINA J MULLAPPALLIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115029

License Status

NOT RENEWED

Business

First Name

SHINA J

Last Name

MULLAPPALLIL

Business Name

SHINA J MULLAPPALLIL

Original Issue Date

08/21/1996

Effective Date

08/21/1996

Expiration Date

03/31/1997

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005