ANTHONY J NEDUMGOTTIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204816

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

NEDUMGOTTIL

Prefix

Business Name

ANTHONY J NEDUMGOTTIL

Original Issue Date

06/15/2011

Effective Date

03/24/2016

Expiration Date

03/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017