DILEEP R KOOTTANAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129248

License Status

NOT RENEWED

Business

First Name

DILEEP

Middle

Last Name

KOOTTANAL

Business Name

DILEEP R KOOTTANAL

Original Issue Date

02/14/2000

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011