MATHEW P PRABHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141537

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

Last Name

PRABHA

Business Name

MATHEW P PRABHA

Original Issue Date

03/25/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007