SINI PAUL MUCKOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148352

License Status

NOT RENEWED

Business

First Name

SINI

Middle

PAUL

Last Name

MUCKOM

Business Name

SINI PAUL MUCKOM

Original Issue Date

04/28/2003

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010