JEROME T UTHUPAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209180

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

Last Name

UTHUPAN

Business Name

JEROME T UTHUPAN

Original Issue Date

02/14/2012

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

WOODRIDGE

State

Zip

60517

Ever Disciplined

LastModifiedDate

05/06/2013