LARRY A JACOBUCCI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057782

License Status

NOT RENEWED

Business

First Name

LARRY A

Last Name

JACOBUCCI

Business Name

LARRY A JACOBUCCI

Original Issue Date

05/27/1972

Effective Date

05/27/1972

Expiration Date

01/01/1997

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005