MATHEW KURIAKOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156360

License Status

NOT RENEWED

Business

First Name

MATHEW

Last Name

KURIAKOSE

Business Name

MATHEW KURIAKOSE

Original Issue Date

07/30/2004

Effective Date

07/30/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006