NELLY ANU EAPEN - Pharmacist License in Illinois | # 049247587

NELLY ANU EAPEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247587

License Status

NOT RENEWED

Business

N

First Name

NELLY

Middle

ANU

Last Name

EAPEN

Business Name

NELLY ANU EAPEN

Original Issue Date

01/05/2017

Effective Date

03/19/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019