KENNETH L JACOBSMA - Pharmacist License in Illinois | # 049058461

KENNETH L JACOBSMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058461

License Status

NOT RENEWED

Business

N

First Name

KENNETH L

Last Name

JACOBSMA

Business Name

KENNETH L JACOBSMA

Original Issue Date

09/30/1972

Effective Date

09/30/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005