JISMON KURIAKOSE KURUPPATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234554

License Status

NOT RENEWED

Business

First Name

JISMON

Middle

KURIAKOSE

Last Name

KURUPPATH

Business Name

JISMON KURIAKOSE KURUPPATH

Original Issue Date

07/17/2015

Effective Date

02/19/2021

Expiration Date

05/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/27/2022