License holder summary

JIBU THOMAS IDICULA is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for JIBU THOMAS IDICULA is Broomall PA 19008. This licensed professional license is current. The license was granted 08/13/2013 and expired on 09/30/2016.

Pennsylvania

Department of State

JIBU THOMAS IDICULA
Pharmacy - Authorization to Administer Injectables
License number
RPI007748
Date granted
08/13/2013
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
Broomall PA 19008
palicensing.org
ID 17125807
LAST UPDATED 2024-03-22 05:13:56 UTC

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