DIVYA MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290412

License Status

NOT RENEWED

Business

First Name

DIVYA

Last Name

MATHEW

Business Name

DIVYA MATHEW

Original Issue Date

04/01/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008