PAULY PAULOSE VATHIKULAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144351

License Status

NOT RENEWED

Business

First Name

PAULY

Middle

PAULOSE

Last Name

VATHIKULAM

Business Name

PAULY PAULOSE VATHIKULAM

Original Issue Date

08/27/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009