SHABU MATHEW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148772

License Status

INACTIVE

Business

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

City

WEST MONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/05/2011