PALANISAMY BOOMICHETTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145952

License Status

NOT RENEWED

Business

First Name

PALANISAMY

Last Name

BOOMICHETTY

Business Name

PALANISAMY BOOMICHETTY

Original Issue Date

11/20/2002

Effective Date

11/20/2002

Expiration Date

03/31/2004

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005