SHAJI A MOHAMMED DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223766

License Status

NOT RENEWED

Business

Title

First Name

SHAJI

Middle

Last Name

MOHAMMED

Prefix

Business Name

SHAJI A MOHAMMED DO

Original Issue Date

03/07/2014

Effective Date

01/21/2015

Expiration Date

03/31/2016

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016