LEYA S MATHEW - Pharmacist License in Illinois | # 049152147

LEYA S MATHEW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152147

License Status

NOT RENEWED

Business

N

First Name

LEYA

Middle

S

Last Name

MATHEW

Business Name

LEYA S MATHEW

Original Issue Date

11/17/2003

Effective Date

11/17/2003

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006