JOMIN PUTHUVELIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049307283

License Status

NOT RENEWED

Business

First Name

JOMIN

Last Name

PUTHUVELIL

Business Name

JOMIN PUTHUVELIL

Original Issue Date

11/01/2023

Effective Date

11/01/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025