SUSAN JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060338

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

JACOB

Business Name

SUSAN JACOB

Original Issue Date

09/28/1973

Effective Date

09/28/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005