JERRY J POWATHIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187934

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

POWATHIL

Business Name

JERRY J POWATHIL

Original Issue Date

10/23/2008

Effective Date

10/23/2008

Expiration Date

03/31/2009

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009