SHIJI MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136280

License Status

NOT RENEWED

Business

First Name

SHIJI

Last Name

MATHEW

Business Name

SHIJI MATHEW

Original Issue Date

05/14/2001

Effective Date

05/14/2001

Expiration Date

03/31/2003

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005