LISSIE KUZHIVELIL JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249388

License Status

NOT RENEWED

Business

First Name

LISSIE

Last Name

KUZHIVELIL JACOB

Business Name

LISSIE KUZHIVELIL JACOB

Original Issue Date

03/27/2017

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018