DOMINIC ESTHAPPAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130889

License Status

NOT RENEWED

Business

First Name

DOMINIC

Last Name

ESTHAPPAN

Business Name

DOMINIC ESTHAPPAN

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

03/31/2001

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005