PRADEEP MATHEW - Pharmacist License in Illinois | # 049144749

PRADEEP MATHEW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144749

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005