PRINCE K EAPEN - Pharmacist License in Illinois | # 049137269

PRINCE K EAPEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137269

License Status

NOT RENEWED

Business

N

First Name

PRINCE

Middle

K

Last Name

EAPEN

Business Name

PRINCE K EAPEN

Original Issue Date

07/18/2001

Effective Date

07/18/2001

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005