SMITHA R KALLUMKAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131271

License Status

NOT RENEWED

Business

First Name

SMITHA

Middle

Last Name

KALLUMKAL

Business Name

SMITHA R KALLUMKAL

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

03/31/2002

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005