SHAM P SKARIAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154957

License Status

NOT RENEWED

Business

First Name

SHAM

Middle

Last Name

SKARIAH

Business Name

SHAM P SKARIAH

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2006

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006