PRINCE K EAPEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137269

License Status

NOT RENEWED

Business

First Name

PRINCE

Middle

Last Name

EAPEN

Business Name

PRINCE K EAPEN

Original Issue Date

07/18/2001

Effective Date

07/18/2001

Expiration Date

03/31/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005