KEVIN M VADAKEDATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151872

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

VADAKEDATH

Business Name

KEVIN M VADAKEDATH

Original Issue Date

10/27/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SKOKIE

State

Zip

60077

Ever Disciplined

LastModifiedDate

05/14/2007