SHOBIN PONNACHAN SKARIAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163194

License Status

NOT RENEWED

Business

First Name

SHOBIN

Middle

PONNACHAN

Last Name

SKARIAH

Business Name

SHOBIN PONNACHAN SKARIAH

Original Issue Date

08/23/2005

Effective Date

08/23/2005

Expiration Date

03/31/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006