KENNETH M JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092398

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

JACOBS

Business Name

KENNETH M JACOBS

Original Issue Date

02/27/1990

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011