JACOB MULLAMANGALAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265977

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

MULLAMANGALAM

Business Name

JACOB MULLAMANGALAM

Original Issue Date

06/12/2019

Effective Date

06/12/2019

Expiration Date

09/30/2020

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021