ALAN SAM MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294711

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

SAM

Last Name

MATHEW

Business Name

ALAN SAM MATHEW

Original Issue Date

08/05/2022

Effective Date

08/05/2022

Expiration Date

03/31/2023

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023