CIMI G KODUVATHARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131693

License Status

NOT RENEWED

Business

First Name

CIMI

Middle

Last Name

KODUVATHARA

Business Name

CIMI G KODUVATHARA

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005