SHABU MATHEW - Pharmacist License in Illinois | # 049148772

SHABU MATHEW

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148772

License Status

INACTIVE

Business

N

First Name

SHABU

Last Name

MATHEW

Business Name

SHABU MATHEW

Original Issue Date

06/06/2003

Effective Date

03/15/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2011