LIZAMMA JOSHY JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166458

License Status

NOT RENEWED

Business

First Name

LIZAMMA

Middle

JOSHY

Last Name

JACOB

Business Name

LIZAMMA JOSHY JACOB

Original Issue Date

02/10/2006

Effective Date

03/30/2010

Expiration Date

03/31/2011

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011