PRADEEP MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144749

License Status

NOT RENEWED

Business

First Name

PRADEEP

Last Name

MATHEW

Business Name

PRADEEP MATHEW

Original Issue Date

09/23/2002

Effective Date

09/23/2002

Expiration Date

03/31/2005

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005