ANN E JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135681

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

JACOB

Business Name

ANN E JACOB

Original Issue Date

04/09/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

FREMONT

State

Zip

94555

Ever Disciplined

LastModifiedDate

05/02/2008