THOMAS U THAICKAL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194040

License Status

INACTIVE

Business

First Name

THOMAS

Middle

Last Name

THAICKAL

Prefix

Business Name

THOMAS U THAICKAL

Original Issue Date

09/03/2009

Effective Date

09/03/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010