GEORGE KALLUVARAPARAMPIL MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146077

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

KALLUVARAPARAMPIL

Last Name

MATHEW

Business Name

GEORGE KALLUVARAPARAMPIL MATHEW

Original Issue Date

11/25/2002

Effective Date

11/25/2002

Expiration Date

03/31/2003

City

CARPENTERSVILLE

State

Zip

60110

Ever Disciplined

LastModifiedDate

10/20/2005