MARY JACOB - Pharmacist License in Illinois | # 049088218

MARY JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088218

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

JACOB

Business Name

MARY JACOB

Original Issue Date

11/07/1988

Effective Date

11/07/1988

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005