SIJIN MATHEWS VELLURATTIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121390

License Status

NOT RENEWED

Business

First Name

SIJIN

Middle

MATHEWS

Last Name

VELLURATTIL

Business Name

SIJIN MATHEWS VELLURATTIL

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005