MAXINE ANN MATHEW MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134487

License Status

NOT RENEWED

Business

First Name

MAXINE

Middle

ANN

Last Name

MATHEW

Suffix

Business Name

MAXINE ANN MATHEW MD

Original Issue Date

02/06/2001

Effective Date

02/06/2001

Expiration Date

03/31/2005

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2012