PRINCY S MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129632

License Status

NOT RENEWED

Business

First Name

PRINCY

Middle

Last Name

MATHEW

Business Name

PRINCY S MATHEW

Original Issue Date

02/29/2000

Effective Date

02/29/2000

Expiration Date

03/31/2004

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005