THOMAS J PUTHENPURAKAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167325

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

PUTHENPURAKAL

Business Name

THOMAS J PUTHENPURAKAL

Original Issue Date

04/05/2006

Effective Date

01/24/2013

Expiration Date

03/31/2014

City

ADDISON

State

Zip

60101

Ever Disciplined

LastModifiedDate

05/06/2014