TARA MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163086

License Status

NOT RENEWED

Business

First Name

TARA

Last Name

MATHEW

Business Name

TARA MATHEW

Original Issue Date

08/22/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SAN ANTONIO

State

Zip

78258

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009