SHAJAN JOSE - Pharmacist License in Illinois | # 049144885

SHAJAN JOSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144885

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005