ROY MATHEM CHEMBAKASSERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178299

License Status

NOT RENEWED

Business

First Name

ROY

Middle

MATHEM

Last Name

CHEMBAKASSERY

Business Name

ROY MATHEM CHEMBAKASSERY

Original Issue Date

08/07/2007

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2017