JAIRUS J LUKOSE MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172055

License Status

NOT RENEWED

Business

Title

First Name

JAIRUS

Middle

Last Name

LUKOSE

Business Name

JAIRUS J LUKOSE MD

Original Issue Date

10/25/2006

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011