CIMI G KODUVATHARA - Pharmacist License in Illinois | # 049131693

CIMI G KODUVATHARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131693

License Status

NOT RENEWED

Business

N

First Name

CIMI

Middle

G

Last Name

KODUVATHARA

Business Name

CIMI G KODUVATHARA

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005