PRASANNA V JOSE - Pharmacist License in Illinois | # 049122940

PRASANNA V JOSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122940

License Status

NOT RENEWED

Business

N

First Name

PRASANNA

Middle

V

Last Name

JOSE

Business Name

PRASANNA V JOSE

Original Issue Date

09/25/1998

Effective Date

09/25/1998

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005