DIVYA MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128921

License Status

NOT RENEWED

Business

First Name

DIVYA

Last Name

MATHEW

Business Name

DIVYA MATHEW

Original Issue Date

01/11/2000

Effective Date

01/11/2000

Expiration Date

03/31/2005

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005