SIMON KATTAPURAM KURIAKOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151570

License Status

NOT RENEWED

Business

First Name

SIMON

Middle

KATTAPURAM

Last Name

KURIAKOSE

Business Name

SIMON KATTAPURAM KURIAKOSE

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60630

Ever Disciplined

LastModifiedDate

10/20/2005