SOUMYA ELIZ MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150869

License Status

NOT RENEWED

Business

First Name

SOUMYA

Middle

ELIZ

Last Name

MATHEW

Business Name

SOUMYA ELIZ MATHEW

Original Issue Date

09/24/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009