MARIANN T CHELAMPATH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171132

License Status

NOT RENEWED

Business

Title

First Name

MARIANN

Middle

Last Name

CHELAMPATH

Business Name

MARIANN T CHELAMPATH MD

Original Issue Date

09/06/2006

Effective Date

09/06/2006

Expiration Date

03/31/2007

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007