SIJI POULOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273192

License Status

NOT RENEWED

Business

First Name

SIJI

Last Name

POULOSE

Business Name

SIJI POULOSE

Original Issue Date

05/12/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022