JACK JACOB - Pharmacist License in California | # 049063162

JACK JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063162

License Status

NOT RENEWED

Business

N

First Name

JACK

Last Name

JACOB

Business Name

JACK JACOB

Original Issue Date

03/21/1975

Effective Date

03/21/1975

Expiration Date

01/01/1997

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005