PRINCY S MATHEW - Pharmacist License in Illinois | # 049129632

PRINCY S MATHEW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129632

License Status

NOT RENEWED

Business

N

First Name

PRINCY

Middle

S

Last Name

MATHEW

Business Name

PRINCY S MATHEW

Original Issue Date

02/29/2000

Effective Date

02/29/2000

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005