MARK JACOBS - Pharmacist License in Illinois | # 049065675

MARK JACOBS

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065675

License Status

CANCELLED

Business

N

First Name

MARK

Last Name

JACOBS

Business Name

MARK JACOBS

Original Issue Date

07/02/1976

Effective Date

07/02/1976

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005