SHIJIN JUSTUS PUTHUVEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135358

License Status

NOT RENEWED

Business

First Name

SHIJIN

Middle

JUSTUS

Last Name

PUTHUVEL

Business Name

SHIJIN JUSTUS PUTHUVEL

Original Issue Date

03/21/2001

Effective Date

03/21/2001

Expiration Date

03/31/2002

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005