JOLLY P MACWAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141740

License Status

NOT RENEWED

Business

First Name

JOLLY

Middle

Last Name

MACWAN

Business Name

JOLLY P MACWAN

Original Issue Date

04/10/2002

Effective Date

04/10/2002

Expiration Date

03/31/2003

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005