SHAJAN PHILIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158140

License Status

NOT RENEWED

Business

First Name

SHAJAN

Last Name

PHILIPS

Business Name

SHAJAN PHILIPS

Original Issue Date

12/06/2004

Effective Date

12/06/2004

Expiration Date

03/31/2006

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006