SUMA G EAPEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121683

License Status

NOT RENEWED

Business

First Name

SUMA

Middle

Last Name

EAPEN

Business Name

SUMA G EAPEN

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

03/31/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006