SHAJAN JOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144885

License Status

NOT RENEWED

Business

First Name

SHAJAN

Last Name

JOSE

Business Name

SHAJAN JOSE

Original Issue Date

09/27/2002

Effective Date

09/27/2002

Expiration Date

03/31/2005

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005