MATT KODUVATHRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195868

License Status

NOT RENEWED

Business

First Name

MATT

Last Name

KODUVATHRA

Business Name

MATT KODUVATHRA

Original Issue Date

12/14/2009

Effective Date

12/14/2009

Expiration Date

03/31/2010

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010