JAISON E CHAKKAPPAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158593

License Status

NOT RENEWED

Business

First Name

JAISON

Middle

Last Name

CHAKKAPPAN

Business Name

JAISON E CHAKKAPPAN

Original Issue Date

12/27/2004

Effective Date

12/27/2004

Expiration Date

03/31/2006

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006