LEYA S MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152147

License Status

NOT RENEWED

Business

First Name

LEYA

Middle

Last Name

MATHEW

Business Name

LEYA S MATHEW

Original Issue Date

11/17/2003

Effective Date

11/17/2003

Expiration Date

03/31/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006